Active NPI
Brian Todd Klima
- Pediatrics Physician
- Pataskala, OH
National Provider Identifier
1700050309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35091233
- Practice address
- 1 Healthy PL Ste 203
Pataskala, OH 43062-7067 - Phone
- (220) 564-1925
- Fax
- (220) 564-1926
- NPI assigned
- Apr 15, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35091233 | OH | Primary |
Addresses
Primary practice location
1 Healthy PL Ste 203
Pataskala, OH 43062-7067
Mailing address
1 Healthy PL Ste 203
Pataskala, OH 43062-7067
Phone (220) 564-1925
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2872897 | Medicaid | OH |
Other names 1
- No Other Name
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | klimaclinicalteam@lmhealth.direct-ci.net | ||
| Direct Messaging Address | bklima14365@lickingmemorial.medicity.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35091233 | OH | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Licking Memorial Hospital | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Newark, OH
- NPI 1568446755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616025600000",
"number": "1700050309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HEALTHY PL STE 203",
"city": "PATASKALA",
"state": "OH",
"postal_code": "430627067",
"telephone_number": "220-564-1925",
"fax_number": "220-564-1926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HEALTHY PL STE 203",
"city": "PATASKALA",
"state": "OH",
"postal_code": "430627067",
"telephone_number": "220-564-1925",
"fax_number": "220-564-1926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLIMA",
"first_name": "BRIAN",
"middle_name": "TODD",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-15",
"last_updated": "2021-03-18",
"certification_date": "2021-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35091233",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2872897",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "klimaclinicalteam@lmhealth.direct-ci.net",
"affiliation": "N",
"address_1": "1 Healthy Pl Ste 203",
"city": "Pataskala",
"state": "OH",
"country_code": "US",
"postal_code": "430627067",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bklima14365@lickingmemorial.medicity.net",
"affiliation": "N",
"address_1": "1 Healthy Pl Ste 203",
"city": "Pataskala",
"state": "OH",
"country_code": "US",
"postal_code": "430627067",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "NO",
"last_name": "NAME",
"middle_name": "OTHER",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Pataskala, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.