Randall Coy Duplechain, M.D.,Apmc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

16185 Issued in LA

Legal business name

RANDALL COY DUPLECHAIN, M.D.,APMC

Doing business as

The Family Medicine Clinic

Practice address

701 S Pine St
Deridder, LA 70634-4943

Phone

(337) 462-1080

Fax

(337) 462-5346

NPI assigned

May 29, 2008

Last updated

Feb 18, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Randall C Duplechain, M.D.NPI 1417963083

Title

President

Phone

(337) 462-1080

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Family Medicine Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Randall Coy Duplechain, MD

  • Family Medicine Physician
  • Deridder, LA
  • NPI 1417963083
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297987200000",
    "number": "1972761641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 S PINE ST",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706344943",
            "telephone_number": "337-462-1080",
            "fax_number": "337-462-5346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S PINE ST",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706344943",
            "telephone_number": "337-462-1080",
            "fax_number": "337-462-5346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL COY DUPLECHAIN, M.D.,APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2011-02-18",
        "status": "A",
        "authorized_official_last_name": "DUPLECHAIN",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-462-1080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "LA",
            "license": "16185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1337404",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Family Medicine Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Morgan Pearce Jr., FNP
• Mary Phillips
• Premier Performance Physical Therapy and Sports Rehab
• Vaneesa M. Quave, R.N.,BSN
• Justine Ramsey, MS, RDN, LDN
• Lakyn Jeane Reeves, PT, DPT
• Residential Therapy Solutions, LLC
• Anna Reuber
• Madeline Rice, PT,DPT
• Robert B. Lestage, DDS, LLC

• Clinic/Center in Deridder, LA
• Providers in Deridder, LA by specialty
• Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.