DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. RANDY J TARVIN, MD

Active

MR. RANDY J TARVIN, MD is a Family Medicine healthcare provider located in LEES SUMMIT, Missouri. NPI 1952396905 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · LEES SUMMIT, MO

Registration Details

NPI Number
1952396905
Provider Type
Individual
Gender
Male
NPI Issued
Sep 15, 2005 (20.902678608333 yrs)
Last Updated
Aug 18, 2009
Licenses
MD 111602 (MO)
0422753 (KS)

Practice Information

Address
1741 NE DOUGLAS ST
SUITE 200
LEES SUMMIT, MO, 640864703
Browse MO providers · Browse ZIP 64086
Phone
8162460200
Fax
8162460220
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in LEES SUMMIT, MO

Name Credential NPI
CHRISTOPHER F ZIELINSKI DO 1235132622
DR. HERBERT E HALL III D.O. 1902802754
HERBERT ALEXANDER DEMPSEY M.D. 1851383392
BRUCE E FEARON M.D. 1689666059
JOHN E SHOCKLEY D.O. 1639161003
HERBERT EDWARD DEMPSEY D.O. 1245222611
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.