Geoffrey M Randolph, MD | |
11141 Parkview Plaza Dr Ste 300, Fort Wayne, IN 46845-1715 | |
(260) 490-7111 | |
(260) 490-9301 |
Full Name | Geoffrey M Randolph |
---|---|
Gender | Male |
Speciality | Plastic Surgery |
Location | 11141 Parkview Plaza Dr Ste 300, Fort Wayne, Indiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194726380 | NPI | - | NPPES |
240007528 | Other | IN | MEDICARE RAILROAD |
104366820 | Medicaid | MI | |
0467338 | Medicaid | OH | |
100353210 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208200000X | Plastic Surgery | 01035742A (Indiana) | Primary |
Mailing Address | Practice Location Address |
---|---|
Geoffrey M Randolph, MD 7230 Engle Rd, Fort Wayne, IN 46804-2209 Ph: (260) 490-7111 | Geoffrey M Randolph, MD 11141 Parkview Plaza Dr Ste 300, Fort Wayne, IN 46845-1715 Ph: (260) 490-7111 |
Reid Robert Pflueger, DO Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 7920 W Jefferson Blvd Ste 200, Fort Wayne, IN 46804 Phone: 260-490-7111 | |
Robert Nicholas Severinac, M.D. Plastic Surgery Medicare: May Accept Medicare Assignments Practice Location: 10020 Dupont Circle Ct, Suite 100, Fort Wayne, IN 46825 Phone: 260-489-0099 Fax: 260-489-0066 | |
Guy G Crevecoeur, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 11141 Parkview Plaza Dr Ste 300, Fort Wayne, IN 46845 Phone: 260-490-7111 Fax: 260-490-2286 | |
Kevin L Berning, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 11141 Parkview Plaza Dr Ste 300, Fort Wayne, IN 46845 Phone: 260-490-7111 Fax: 260-490-2286 | |
Albert M Morrison, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 11141 Parkview Plaza Dr Ste 300, Fort Wayne, IN 46845 Phone: 260-425-6960 Fax: 260-425-6965 | |
James R. Miller, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 11141 Parkview Plaza Dr, Suite 305, Fort Wayne, IN 46845 Phone: 260-266-8900 Fax: 260-266-8935 |