MEDICARE: RANDY CURTIN DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	34006118	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000269012	OTHER	OH	ANTHEM
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	N371401	OTHER	OH	WELLCARE

General Provider Information

NPI Number	:	1801859103
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RANDY CURTIN DO

Provider Business Mailing Address
First Line	:	5700 DARROW RD
Second Line	:	SUITE 106
City	:	HUDSON
State	:	OH
Zip	:	44236-5021
Country	:	US
Telephone Number	:	330-656-9304
Fax Number	:	330-656-5901

Provider Business Practice Location Address
First Line	:	870 W MAIN ST
Second Line	:
City	:	GENEVA
State	:	OH
Zip	:	44041-1219
Country	:	US
Telephone Number	:	440-466-1141
Fax Number	:	330-656-5901

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/08/2006
Last Update Date	:	06/23/2008

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Directions to “ RANDY CURTIN DO” Practice Location

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