Randolph M. Heinle, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34001772 Issued in OH

Practice address

3871 Broadview Rd
Richfield, OH 44286-9596

Phone

(330) 659-4480

Fax

(330) 659-4517

NPI assigned

Jun 1, 2006

Last updated

Sep 14, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: rheinle@direct.swgeneral.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Health Care Center Physicians, Inc.

  • Family Medicine Physician
  • Cuyahoga Falls, OH
  • NPI 1831105139
  NPD (past)

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1982641668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3871 BROADVIEW RD",
            "city": "RICHFIELD",
            "state": "OH",
            "postal_code": "442869596",
            "telephone_number": "330-659-4480",
            "fax_number": "330-659-4517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3871 BROADVIEW RD",
            "city": "RICHFIELD",
            "state": "OH",
            "postal_code": "442869596",
            "telephone_number": "330-659-4480",
            "fax_number": "330-659-4517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINLE",
        "first_name": "RANDOLPH",
        "middle_name": "M.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34001772",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34001772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN-GROUP",
            "identifier": "9934196",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "0015551",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1982641668",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan James Graber, ATC
• Richard J. Gromofsky Jr., D.D.S.
• Amanda D Groover
• Guan Dental LLC
• Have Table Will Travel
• Bethany Kaye Hogan, OTR L
• Donna Marie Hradisky, PTA
• Nicole Jaras, BCBA
• Edward Anthony Jendrisak, PT
• Janine Jenkins

• Family Medicine Physician in Richfield, OH
• Providers in Richfield, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.