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GEOFFREY M RANDOLPH MD
NPI 1194726380
Plastic Surgery in Fort Wayne, IN

Active since August 10, 2005
11141 PARKVIEW PLAZA DR STE 300, FORT WAYNE, IN 46845(260) 490-7111(260) 490-9301 Get Directions Write a Review

NPPES record last updated: July 23, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Geoffrey M Randolph Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GEOFFREY M RANDOLPH MD (NPI 1194726380) is an individual plastic surgery provider in Fort Wayne, Indiana, licensed in Indiana (01035742A) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1194726380
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameGEOFFREY M RANDOLPHCredential: MD
Location Address11141 PARKVIEW PLAZA DR STE 300Fort Wayne, IN 46845-1715
Mailing Address7230 Engle RdFort Wayne, IN 46804-2209 · (260) 490-7111 · Fax (260) 490-9301
Phone(260) 490-7111
Fax(260) 490-9301
Sole ProprietorNo
Enumeration DateAugust 10, 2005
Last NPPES UpdateJuly 23, 2018
✔ NPI 1194726380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in IN · 01035742A
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
11141 PARKVIEW PLAZA DR STE 300, Fort Wayne, IN 46845
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Other Identifiers 4

Medicaid100353210IN
Medicaid0467338OH
Medicaid104366820MI
Other240007528IN · Medicare Railroad

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GUY G CREVECOEUR MD
Plastic Surgery
11141 PARKVIEW PLAZA DR STE 300
FORT WAYNE, IN 46845
Allen County (260) 490-7111
KEVIN L BERNING MD
Plastic Surgery
11141 PARKVIEW PLAZA DR STE 300
FORT WAYNE, IN 46845
Allen County (260) 490-7111
MS. HANNAH HELENA HESS PA-C
Physician Assistant
11141 PARKVIEW PLAZA DR STE 300
FORT WAYNE, IN 46845
Allen County (260) 425-6960
ALBERT M MORRISON MD
Plastic Surgery
11141 PARKVIEW PLAZA DR STE 300
FORT WAYNE, IN 46845
Allen County (260) 425-6960
DR. JUSTIN R BRYANT DO, MBA
Surgery (Plastic and Reconstructive Surgery)
11141 PARKVIEW PLAZA DR STE 300
FORT WAYNE, IN 46845
Allen County (260) 425-6960
KAITLYN N KING PA-C
Physician Assistant
11141 PARKVIEW PLAZA DR STE 300
FORT WAYNE, IN 46845
Allen County (260) 425-6960
EVAN BRIAN WESTRICK M.D.
Surgery (Plastic and Reconstructive Surgery)
11141 PARKVIEW PLAZA DR STE 300
FORT WAYNE, IN 46845
Allen County (260) 425-6960

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Geoffrey Randolph's NPI number?

The NPI number for Geoffrey Randolph is 1194726380. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Where is Geoffrey Randolph located?

Geoffrey Randolph practices at 11141 Parkview Plaza Dr Ste 300, Fort Wayne, IN 46845. The listed phone number is (260) 490-7111.

What is Geoffrey Randolph's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

What insurance does Geoffrey Randolph accept?

Health plans from CareSource list Geoffrey Randolph as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Geoffrey Randolph was last updated on July 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.