| Randy S Large, DO | |
|
1102 W 32nd St, Joplin, MO 64804-3503 | |
| (417) 347-3649 | |
| Not Available |
| Full Name | Randy S Large |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 35 Years |
| Location | 1102 W 32nd St, Joplin, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538149778 | NPI | - | NPPES |
| 81882556 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | DR-34380 (Colorado) | Secondary |
| 207L00000X | Anesthesiology | 3086 (Arizona) | Secondary |
| 207L00000X | Anesthesiology | 2010000744 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lee's Summit Medical Center | Lees summit, MO | Hospital |
| Belton Regional Medical Center | Belton, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Associates Of Kansas City Pa | 1951206168 | 201 |
| Anesthesia Associates Of Kansas City Pa | 1951206168 | 201 |
| Entity Name | Anesthesia Associates Of Kansas City Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174504732 PECOS PAC ID: 1951206168 Enrollment ID: O20031201000810 |
| Mailing Address | Practice Location Address |
|---|---|
| Randy S Large, DO Po Box 3810, Joplin, MO 64803-3810 Ph: (417) 347-3649 | Randy S Large, DO 1102 W 32nd St, Joplin, MO 64804-3503 Ph: (417) 347-3649 |
Jacob Podleski, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1078 | |
John Knudsen Iii, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1515 E 32nd St, Ste 200, Joplin, MO 64804 Phone: 417-624-4277 Fax: 417-624-4297 | |
Donita Ki Boan, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1078 Fax: 417-347-1079 | |
Ryan Douglas Baker, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 100 Mercy Way, Joplin, MO 64804 Phone: 417-781-2727 | |
Kalaichelvi R Huff, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 100 Mercy Way, Joplin, MO 64804 Phone: 417-556-6479 Fax: 417-621-0404 | |
Magaral S Hari, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1102 West 32nd Street, Joplin, MO 64804 Phone: 417-347-1078 Fax: 417-347-1079 | |
Heather Dianne Stelling, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3216 Ferguson Rd, Joplin, MO 64804 Phone: 417-208-9034 Fax: 417-313-1275 |