| Randy L. Climo, M.d., Inc. | |
|
1725 Timber Line Rd Maumee OH 43537-4015 | |
| (419) 345-0626 | |
| (419) 872-0855 |
| Full Name | Randy L. Climo, M.d., Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1725 Timber Line Rd, Maumee, Ohio |
| Authorized Official Name and Position | Randy Lee Climo (PRESIDENT) |
| Authorized Official Contact | 4193450626 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Randy L. Climo, M.d., Inc. Po Box 424 Perrysburg OH 43552-0424 Ph: (419) 872-5848 | Randy L. Climo, M.d., Inc. 1725 Timber Line Rd Maumee OH 43537-4015 Ph: (419) 345-0626 |
| NPI Number | 1861446940 |
|---|---|
| Provider Enumeration Date | 05/21/2006 |
| Last Update Date | 09/10/2019 |
| Medicare PECOS PAC ID | 6204864192 |
|---|---|
| Medicare Enrollment ID | O20140218000300 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861446940 | NPI | - | NPPES |
| DF0382 | Other | OH | RAILROAD MEDICARE |
| 000000028370 | Other | OH | ANTHEM |
| 2748978 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | 35057925C (Ohio) | Primary |
| Provider Name | Randy Climo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225082399 PECOS PAC ID: 5294763181 Enrollment ID: I20140218000628 |
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