RANDALL W. MCKENNA DO – NPI #1063477552
Orthopaedic Surgery

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

RANDALL MCKENNA is an orthopaedic surgeon located in DECATUR, TX. NPPES has assigned the NPI number 1063477552 to RANDALL MCKENNA on April 19, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207X00000X from the Health Care Provider Taxonomy code set, which is classified as Orthopaedic Surgery.

The NPI profile was previously updated about 7 years ago on Sep 18, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RANDALL MCKENNA below.

NPI Profile for
RANDALL W. MCKENNA

NPI Number
1063477552
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
RANDALL W. MCKENNA
Credentials
DO
Primary location
1713 S FM 51
SUITE 103
DECATUR, TX 76234
Phone: (940) 627-6976 Fax: (940) 627-3491
1 Other location(s):
2800 E Highway 114 Ste 130
Trophy Club, TX 76262-5305
Phone: (469) 916-4435
Fax: (940) 687-9035
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for RANDALL MCKENNA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBSTXTX89Z590
MEDICAIDTX131938605
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207X00000X
- Orthopaedic Surgery (Primary)
TX J0118

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE - Graduated 1991
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
RANDALL MCKENNA is affiliated with the following medical group(s):
  • HOSPITAL
    • BAYLOR MEDICAL CENTER AT TROPHY CLUB
      2850 E STATE HIGHWAY 114
      TROPHY CLUB, TX 76262
    • WISE REGIONAL HEALTH SYSTEM
      609 MEDICAL CENTER DRIVE
      DECATUR, TX 76234

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