Randy Lee Climo
Family Doctor - Adult Medicine
1655 Holland Rd Suite D
Maumee
, Ohio 43537-1656
Randy Lee Climo
Family Doctor - Adult Medicine
1655 Holland Rd Suite D
Maumee
, Ohio 43537-1656
(419) 482-5529
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About
Features
Specialties
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- Randy Lee Climo
- Po Box 1207
- Maumee, OH
- Zip : 43537-8207
- Fax : (419) 482-5529
- Phone : (419) 482-0592
Second Address
- Randy Lee Climo
- 1655 Holland Rd Suite D
- Maumee, OH
- Zip : 43537-1656
- Fax : (419) 482-5529
- Phone : (419) 482-0592
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0505X | Family Doctor - Adult Medicine | 35057925C | OH |
National Provider Identifier
| NPI | 1225082399 |
|---|---|
| Provider Name | Randy Lee Climo |
| First Address | Maumee, OH 43537-8207 |
| Second Address | Maumee, OH 43537-1656 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/05/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0004127117 | AETNA (01) | OH |
| 01162 | PARAMOUNT HEALTHCARE (01) | OH |
| 0771151 | (05) | OH |
| 22000000028370 | ANTHEM (01) | OH |
| 34163460300 | BWC (01) | OH |
| E48114 | (02) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.