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Deactivated NPI 1700914645 Deactivated / Inactive NPI Male Practitioner

Dr. Richard E Randle , MD

Specialist • Springfield, OR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Richard Randle has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 01, 2007
NPI Deactivation Date January 21, 2021
Total Practice Duration ~14 Years of Practice (2007 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Richard Randle, MD was a registered Specialist practicing in Springfield, OR. Throughout an active medical career spanning 14 years, Dr. Randle provided care at the practice location at 86734 MAHOGANY LN until profile deactivation on 2021-01-21.

Practice Location & Contact Primary Location

Practice Address

86734 Mahogany Ln

Springfield, OR 974789512

Telephone 5417460366
Fax 5417446089

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Springfield, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 53.0 Yrs
State Avg: 35.7 Yrs
Regional Practice Density
10 Specialists

Practicing in Springfield, OR (1153 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License OR MD13683

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 21, 2021

Record deactivated on January 21, 2021

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 86734 MAHOGANY LN, SPRINGFIELD, OR 974789512 (Tel: 5417460366)

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Updated Business Mailing Address July 09, 2007

Registered at 86734 MAHOGANY LN, SPRINGFIELD, OR 974789512 (Tel: 5417460366)

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Provider Name / Credentials Updated July 09, 2007

Recorded as RICHARD RANDLE, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Specialist (License #MD13683 in OR)

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Initial NPI Registration & Enumeration March 01, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1700914645
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 01, 2007
Last Update: July 09, 2007
Deactivation Date: January 21, 2021

Mailing Address

86734 Mahogany Ln

Springfield, OR 974789512

Phone: 5417460366

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.