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

Blake Randolph, MD

Individual provider Pediatrics Physician · NPI 1285051144

Blake Randolph, MD is a Pediatrics Physician in Pickerington, Ohio. Licensed in Ohio. Registered with an NPI since 2014.

Licensed in
OH
In the registry since
2014
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

905 Old Diley Rd
Pickerington, OH 43147-2113
Phone: (740) 657-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 35.129178 (OH)

Record details

NPI number1285051144
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2014
Last updated in NPPESFebruary 6, 2025
Certification dateFebruary 6, 2025
Mailing address905 Old Diley Rd, Pickerington, OH 43147-2113

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