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NPI Code Detail

MEDICARE: RANDY A TRIMPEY M.D.

MEDICARE:   RANDY A TRIMPEY  M.D.
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
1207QS0010XSports Medicine (Family Medicine) PhysicianBT8645193OH
2207Q00000XFamily Medicine Physician35082558OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2DA5101OTHEROHRR MEDICARE GROUP

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588668255
Entity Type Code : Individual
Provider Name (Legal Business Name) : RANDY A TRIMPEY M.D.
Provider Business Mailing Address
First Line : 745 HASKINS RD STE B
Second Line :
City : BOWLING GREEN
State : OH
Zip : 43402-1600
Country : US
Telephone Number : 419-373-7607
Fax Number : 419-353-7076
Provider Business Practice Location Address
First Line : 1039 HASKINS RD UNIT A
Second Line :
City : BOWLING GREEN
State : OH
Zip : 43402
Country : US
Telephone Number : 419-352-1121
Fax Number : 419-352-1179
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 06/15/2022

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Directions to “ RANDY A TRIMPEY M.D.” Practice Location

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