Randall W Mckenna (NPI# 1063477552, PAC ID# 7012914856) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1063477552 |
| PAC ID by PECOS | 7012914856 |
| Professional Enrollment ID | I20101208000861 |
| Full Name | Randall W Mckenna |
| Organization Legal Name | NORTH CENTRAL TEXAS ORTHOPAEDICS AND SPORTS MEDICINE PA |
| Address |
1713 S Fm 51 Suite 103 Decatur TX 76234-3644 |
| Phone Number | 9406276976 |
| Gender | M |
| Medical School | OKLAHOMA COLLEGE OF OSTEOPATHIC MEDICINE AND SURGERY |
| Graduation Year | 1991 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 0749277739 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450883 | BAYLOR MEDICAL CENTER AT TROPHY CLUB |
| 450271 | WISE REGIONAL HEALTH SYSTEM |
| 450641 | NOCONA GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1713 S Fm, 51 Suite 103, Decatur, TX 76234-3644 | 9406276976 | NORTH CENTRAL TEXAS ORTHOPAEDICS AND SPORTS MEDICINE PA |
| 2800 E, 114 Suite 130, Trophy Club, TX 76262-5305 | 9406276976 | NORTH CENTRAL TEXAS ORTHOPAEDICS AND SPORTS MEDICINE PA |
| Organization Legal Name | NORTH CENTRAL TEXAS ORTHOPAEDICS AND SPORTS MEDICINE PA |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Troy B Chandler | Physician Assistant | North Central Texas Orthopaedics and Sports Medicine Pa | 1713 S Fm, 51 Suite 103, Decatur, TX 76234-3644 |
| Brad Alan Matlock | Physical Therapy | North Central Texas Orthopaedics and Sports Medicine Pa | 1713 S Fm, 51 Suite 103, Decatur, TX 76234-3644 |
| Street Address |
1713 S FM 51 SUITE 103 |
| City | DECATUR |
| State | TX |
| Zip | 76234-3644 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ricky Lynn Childers | Podiatry | North Central Texas Foot and Ankle, LLC | 1713 S Fm, 51 Suite 103, Decatur, TX 76234-3644 |
| Troy B Chandler | Physician Assistant | North Central Texas Orthopaedics and Sports Medicine Pa | 1713 S Fm, 51 Suite 103, Decatur, TX 76234-3644 |
| Christian B Helm | Physical Medicine and Rehabilitation | 1713 S Fm, 51 Suite 103, Decatur, TX 76234-3644 | |
| Brad Alan Matlock | Physical Therapy | North Central Texas Orthopaedics and Sports Medicine Pa | 1713 S Fm, 51 Suite 103, Decatur, TX 76234-3644 |
| Samantha Lyn Childers | Podiatry | North Central Texas Foot and Ankle, LLC | 1713 S Fm, 51 Suite 103, Decatur, TX 76234-3644 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shirley J Jordan | Clinical Psychologist | 506 N Miller St, Decatur, TX 76234-1114 | |
| Tad Billmire | Optometry | 104 S Washburn St, Decatur, TX 76234-1608 | |
| Edward H Fries | Optometry | 303 S Washburn St, Dba Decatur Eye Center, Decatur, TX 76234-1633 | |
| Ronald W Westbrook | Chiropractic | 1700 W Business, Suite 380, Decatur, TX 76234-3232 | |
| Sanjoy Sundaresan | Pain Management | 1100 W Business, 380 Unit F, Decatur, TX 76234-3268 | |
| Joanne Pham | Otolaryngology | Ent and Allergy Clinic Pa | 1600 W Us Business, 380 Suite A, Decatur, TX 76234-3271 |
| Julie Mistic | Qualified Audiologist | Ent and Allergy Clinic Pa | 1600 W Us Business, 380 Suite A, Decatur, TX 76234-3271 |
| Meria G Aulds | Internal Medicine | 1816 S Fm, 51 Suite 1200, Decatur, TX 76234-3700 | |
| Faridy Maya Mombeleur | Nurse Practitioner | Haroon Siddique, Md, Pa | 2000 S Fm, Suite 51, Decatur, TX 76234-3702 |
| Lea Anne Gilley | Nurse Practitioner | Wise Clinical Care Associates | 2000 S Fm, Suite 51, Decatur, TX 76234-3702 |
| Find all physicians in zip 76234 | |||
| City | DECATUR |
| Zip Code | 76234 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | DECATUR + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Randall W Mckenna.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.