Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Randy J Tarvin, MD

Individual provider Family Medicine Physician · NPI 1952396905

Mr. Randy J Tarvin, MD is a Family Medicine Physician in Lees Summit, Missouri. Licensed in Kansas and Missouri. Registered with an NPI since 2005.

Licensed in
KS, MO
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1741 NE Douglas St Ste 200
Lees Summit, MO 64086-4703
Phone: (816) 246-0200
Fax: (816) 246-0220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD 111602 (MO)
Family Medicine Physician Taxonomy 207Q00000X · Licence 0422753 (KS)

Record details

NPI number1952396905
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 15, 2005
Last updated in NPPESAugust 18, 2009

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