| Mr James Kenneth Randall, CRNA | |
|
2825 Parklawn Dr, Midwest City, OK 73110-4201 | |
| (405) 610-4411 | |
| Not Available |
| Full Name | Mr James Kenneth Randall |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 32 Years |
| Location | 2825 Parklawn Dr, Midwest City, Oklahoma |
| 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 |
|---|---|---|---|
| 1649484361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 186656 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Alliancehealth Midwest | Midwest city, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergenchealth Pllc | 1355606641 | 666 |
| Entity Name | Digestive Disease Specialists Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366489213 PECOS PAC ID: 7315939279 Enrollment ID: O20040331001151 |
| Entity Name | Deaconess Anesthesia Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912432048 PECOS PAC ID: 0042587842 Enrollment ID: O20170526001532 |
| Entity Name | Emergenchealth Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20190618003098 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr James Kenneth Randall, CRNA 3613 Brownwood Ln, Norman, OK 73072-1798 Ph: (252) 458-5156 | Mr James Kenneth Randall, CRNA 2825 Parklawn Dr, Midwest City, OK 73110-4201 Ph: (405) 610-4411 |
Billy Jack Premo, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2825 Parklawn Dr, Midwest City, OK 73110 Phone: 405-360-7576 | |
Verle Robert Garnos, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 8121 National Ave, Midwest City, OK 73110 Phone: 405-732-7905 Fax: 405-360-7762 | |
Mr. Peter George Wipfli, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2825 Parklawn Dr, Midwest City, OK 73110 Phone: 405-610-4411 | |
Patrick Todd Liggitt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2825 Parklawn Dr, Surgery Department, Midwest City, OK 73110 Phone: 405-559-3535 Fax: 405-843-2077 | |
Olusegun Osundele, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2825 Parklawn Dr, Midwest City, OK 73110 Phone: 405-610-8363 | |
Levi Daniel Mcclure, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2825 Parklawn Dr, Midwest City, OK 73110 Phone: 724-388-1783 |