Dr Randall Wayne Henthorn, MD - Pain Medicine in Oklahoma City, OK

Dr Randall Wayne Henthorn, MD is a Pain Medicine - Interventional Pain Medicine physician based in Oklahoma City, Oklahoma. Dr Randall Wayne Henthorn is licensed to practice in Oklahoma (license number 11470) and his current practice location is 750 Ne 13th St, Oac 200, Oklahoma City, Oklahoma. He can be reached at his office (for appointments etc.) via phone at (405) 271-4351.

NPI number for Dr Randall Wayne Henthorn is 1508858804 and his current mailing address is 1122 Ne 13th St, Ori 236, Oklahoma City, Oklahoma. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1508858804.

Contact Information

Dr Randall Wayne Henthorn, MD
750 Ne 13th St, Oac 200,
Oklahoma City, OK 73104-5010
(405) 271-4351
(405) 271-8695

Map and Direction




Physician's Profile

Full NameDr Randall Wayne Henthorn
GenderMale
SpecialityPain Medicine - Interventional Pain Medicine
Location750 Ne 13th St, Oklahoma City, Oklahoma
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1508858804
  • Provider Enumeration Date: 08/22/2005
  • Last Update Date: 08/13/2012

Medical Identifiers

Medical identifiers for Dr Randall Wayne Henthorn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508858804NPI-NPPES
352500500OtherUS DEPT OF LAOR/OWCP
050080210OtherOKRAILROAD MEDICARE
731590295004OtherOKHUMANA MILITARY
731069171007OtherOKBLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208VP0014XPain Medicine - Interventional Pain Medicine 11470 (Oklahoma)Primary
207L00000XAnesthesiology 11470 (Oklahoma)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Randall Wayne Henthorn is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Randall Wayne Henthorn, MD
1122 Ne 13th St, Ori 236,
Oklahoma City, OK 73117-1039

Ph: (405) 271-1515
Dr Randall Wayne Henthorn, MD
750 Ne 13th St, Oac 200,
Oklahoma City, OK 73104-5010

Ph: (405) 271-4351

Reviews and Comments


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