GEOFFREY M RANDOLPH MD
NPI 1194726380
Plastic Surgery in Fort Wayne, IN
NPI Status: Active since August 10, 2005
Contact Information
11141 PARKVIEW PLAZA DR STE 300
FORT WAYNE, IN
ZIP 46845
Phone: (260) 490-7111
Fax: (260) 490-9301
- Individual
- Male
- Plastic Surgery
- Accepts Insurance
About GEOFFREY RANDOLPH
This page provides the complete NPI Profile along with additional information for Geoffrey Randolph, a provider established in Fort Wayne, Indiana with a medical specialization in Plastic Surgery. The healthcare provider is registered in the NPI registry with number 1194726380 assigned on August 2005. The practitioner's primary taxonomy code is 208200000X with license number 01035742A (IN). The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1194726380
- Provider Name
- GEOFFREY M RANDOLPH MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 11141 PARKVIEW PLAZA DR STE 300 FORT WAYNE, IN 46845
- Location Phone
- (260) 490-7111
- Location Fax
- (260) 490-9301
- Mailing Address
- 7230 ENGLE RD FORT WAYNE, IN 46804
- Mailing Phone
- (260) 490-7111
- Mailing Fax
- (260) 490-9301
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-10-2005
- Last Update Date
- 07-23-2018
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Plastic Surgery
- Taxonomy Code
- 208200000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 01035742A
- License State
- IN
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
- HDHP Preventive Silver 5500 $0 Select Drugs - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- HSA Eligible Bronze 6000 - HMO
- Low Premium Bronze 9200 $25 Generic Drugs - HMO
- Low Premium Bronze 9200 $25 Generic Drugs Adult Vision & Fitness - HMO
- Low Premium Silver 6000 $3 Generic Drugs - HMO
- Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - HMO
- Platinum Zero $5 Generic Drugs - HMO
- Platinum Zero $5 Generic Drugs Adult Vision & Fitness - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100353210 | MEDICAID (05) | IN | |
| 0467338 | MEDICAID (05) | OH | |
| 104366820 | MEDICAID (05) | MI | |
| 240007528 | OTHER (01) | IN | MEDICARE RAILROAD |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 9 | 4 | 7 | 2 | 6 | 3 | 8 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 18 | 4 | 14 | 2 | 12 | 3 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 8 + 4 + 1 + 4 + 2 + 1 + 2 + 3 + 1 + 6 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1194726380 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1124029079 | GUY G CREVECOEUR MD Individual | Plastic Surgery | 11141 PARKVIEW PLAZA DR STE 300 FORT WAYNE, IN 46845 (260) 490-7111 |
| 1164423620 | KEVIN L BERNING MD Individual | Plastic Surgery | 11141 PARKVIEW PLAZA DR STE 300 FORT WAYNE, IN 46845 (260) 490-7111 |
| 1326049479 | ALBERT M MORRISON MD Individual | Plastic Surgery | 11141 PARKVIEW PLAZA DR STE 300 FORT WAYNE, IN 46845 (260) 425-6960 |
| 1962857219 | EVAN BRIAN WESTRICK M.D. Individual | Surgery (Plastic and Reconstructive Surgery) | 11141 PARKVIEW PLAZA DR STE 300 FORT WAYNE, IN 46845 (260) 425-6960 |
| 1518335132 | KAITLYN N KING PA-C Individual | Physician Assistant | 11141 PARKVIEW PLAZA DR STE 300 FORT WAYNE, IN 46845 (260) 425-6960 |
| 1427363449 | DR. JUSTIN R BRYANT DO, MBA Individual | Surgery (Plastic and Reconstructive Surgery) | 11141 PARKVIEW PLAZA DR STE 300 FORT WAYNE, IN 46845 (260) 425-6960 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194726380, enumerated in the NPI registry as an "individual" on August 10, 2005
The provider is located at 11141 Parkview Plaza Dr Ste 300 Fort Wayne, In 46845 and the phone number is (260) 490-7111
The provider's speciality is Plastic Surgery with taxonomy code 208200000X
The provider might be accepting Accepts: CareSource, Medicare, Medicaid and Railroad. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on August 10, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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