NPIMap

Organization Active NPI

Randy L. Climo, M.D., Inc.

  • Adult Medicine Physician
  • Maumee, OH
National Provider Identifier
1861446940
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
35057925C Issued in OH
Legal business name
RANDY L. CLIMO, M.D., INC.
Practice address
1725 Timber Line Rd
Maumee, OH 43537-4015
Phone
(419) 345-0626
Fax
(419) 872-0855
NPI assigned
May 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Authorized official

Name
Dr. Randy Lee Climo, M.D.
Title
President
Phone
(419) 345-0626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X 35057925C OH Primary

Addresses

Primary practice location

1725 Timber Line Rd
Maumee, OH 43537-4015

Mailing address

PO Box 424
Perrysburg, OH 43552-0424
Phone (419) 872-5848

Other identifiers 3

IdentifierTypeStateIssuer
DF0382OtherOHRAILROAD MEDICARE
000000028370OtherOHANTHEM
2748978MedicaidOH

National Provider Directory

National Provider Directory

Locations

1690 Woodlands Dr
Ste 102
Maumee, OH 43537
Phone (419) 482-0592

1655 Holland Rd
Ste D
Maumee, OH 43537
Phone (419) 482-0592

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568073600000",
    "number": "1861446940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 424",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435520424",
            "telephone_number": "419-872-5848",
            "fax_number": "419-872-0855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 TIMBER LINE RD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435374015",
            "telephone_number": "419-345-0626",
            "fax_number": "419-872-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDY L. CLIMO, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-21",
        "last_updated": "2019-09-10",
        "status": "A",
        "authorized_official_last_name": "CLIMO",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-345-0626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "OH",
            "license": "35057925C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DF0382",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000028370",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2748978",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumee, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.