Climb Medical Group LLC

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

53445 Issued in CT

Legal business name

CLIMB MEDICAL GROUP LLC

Practice address

828 Sullivan Ave Ste a
South Windsor, CT 06074

Phone

(860) 327-5140

NPI assigned

Apr 24, 2018

Last updated

Jan 24, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Chad McDonald, DO

Title

Ceo of Climb Medical Group LLC

Phone

(860) 644-3118

Specialties & licenses 4

Addresses

Other names 1

• Climb Innovations LLC Former legal business name

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17852/brand/1/csg/1/fhir/r4

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548288000000",
    "number": "1093203291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 TOLLAND TPKE # 129-O",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060421679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 SULLIVAN AVE STE A",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "06074",
            "telephone_number": "860-327-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIMB MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-24",
        "last_updated": "2019-01-24",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "CEO OF CLIMB MEDICAL GROUP LLC",
        "authorized_official_telephone_number": "860-644-3118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "CT",
            "license": "53445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Climb Innovations LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Zozan Chweich, MD
• Abigail Coromoto Cipriani Amador, M.D
• Jayme Marie Clark, PA-C
• Clearview Therapy, LLC.
• Climb Innovations LLC
• Clinical Connections, LLC
• Clinical Consultation Associates
• Douglas Charles Clouser
• Cohen Orthodontics, PC
• Kara L Collazo, APRN, FNP-C

• Addiction Medicine (Family Medicine) Physician in South Windsor, CT
• Providers in South Windsor, CT by specialty
• Addiction Medicine (Family Medicine) Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.