Provider Demographics
NPI:1811493752
Name:HEMING, RANDI N (DPM)
Entity type:Individual
Prefix:
First Name:RANDI
Middle Name:N
Last Name:HEMING
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4357 FERGUSON DR
Mailing Address - Street 2:SUITE 150
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45245-1760
Mailing Address - Country:US
Mailing Address - Phone:513-862-1800
Mailing Address - Fax:513-757-8638
Practice Address - Street 1:4357 FERGUSON DR
Practice Address - Street 2:SUITE 150
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45245-1760
Practice Address - Country:US
Practice Address - Phone:513-862-1800
Practice Address - Fax:513-757-8638
Is Sole Proprietor?:No
Enumeration Date:2018-03-31
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36.004053213E00000X, 213ES0103X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH36.004053OtherOH MEDICAL LICENSE