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

Geoffrey M Randolph, MD

Individual provider Plastic Surgery Physician · NPI 1194726380

Geoffrey M Randolph, MD is a Plastic Surgery Physician in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2005.

Licensed in
IN
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

11141 Parkview Plaza Dr Ste 300
Fort Wayne, IN 46845-1715
Phone: (260) 490-7111
Fax: (260) 490-9301
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 01035742A (IN)

Record details

NPI number1194726380
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 10, 2005
Last updated in NPPESJuly 23, 2018

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