| Grenville Machado M.d.,inc | |
|
2839 Copley Rd Copley OH 44321-2154 | |
| (330) 666-2022 | |
| Not Available |
| Full Name | Grenville Machado M.d.,inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2839 Copley Rd, Copley, Ohio |
| Authorized Official Name and Position | Grenville Machado (PRESIDENT) |
| Authorized Official Contact | 3306662022 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grenville Machado M.d.,inc 2839 Copley Rd Copley OH 44321-2154 Ph: () - | Grenville Machado M.d.,inc 2839 Copley Rd Copley OH 44321-2154 Ph: (330) 666-2022 |
| NPI Number | 1376649483 |
|---|---|
| Provider Enumeration Date | 09/15/2006 |
| Last Update Date | 11/29/2007 |
| Medicare PECOS PAC ID | 0446353452 |
|---|---|
| Medicare Enrollment ID | O20070313000178 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376649483 | NPI | - | NPPES |
| 2718581 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Grenville Joachim Machado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861476608 PECOS PAC ID: 7719080720 Enrollment ID: I20070313000173 |
| Provider Name | Gary E Machado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689989584 PECOS PAC ID: 5597906354 Enrollment ID: I20130722000260 |
Consortium Concepts, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 554 Heritage Woods Dr, Copley, OH 44321 Phone: 330-328-4570 Fax: 888-354-1076 | |
Sabhi, Ltd. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 159 Weatherstone Ct, Copley, OH 44321 Phone: 330-670-0369 | |
Akron Geriatric, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4242 Cobblestone Dr, Copley, OH 44321 Phone: 330-666-5713 Fax: 330-666-5657 |