CLYO INTERNAL MEDICINE INC. NPI 1467405225

NPI Information

  • NPI: 1467405225
  • Provider Name: CLYO INTERNAL MEDICINE, INC.
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 7073 CLYO RD
    CENTERVILLE, OH
    ZIP 45459
  • Phone: (937) 435-5857

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NPI Details

CLYO INTERNAL MEDICINE, INC. is a family nurse practitioner in Centerville, OH. CLYO INTERNAL MEDICINE, INC. NPI is 1467405225. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7073 CLYO RD
CENTERVILLE, OH
ZIP 45459-816
Phone: (937) 435-5857
Fax: (937) 912-4960

The provider's authorized official is Gary John Palmer .
The authorized official title is Owner and has the following contact phone number (937) 435-5857.

The enumeration date for this NPI number is 5/19/2006 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineNo
2207QG0300XFamily MedicineGeriatric MedicineNo
3363A00000XPhysician AssistantNo
4363LF0000XNurse PractitionerFamilyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12591673MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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