Individual provider · Type 1 NPI

Jared D. Randall

Physician Assistant · Baltimore, MD

NPI number 1124873070 Active

Practice location

2401 W Belvedere Ave
Baltimore, MD 21215-5270

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XC0009955 (MD)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1124873070

Jared D. Randall's National Provider Identifier is 1124873070, issued on Apr 23, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Baltimore, MD. The record was last updated on Sep 17, 2025.