CENTRAL OHIO UROLOGY GROUP, LLC (NPI# 1083889752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083889752 |
| Entity Type | Organization |
| Organization Name | CENTRAL OHIO UROLOGY GROUP, LLC |
| Other Organization Name | COLUMBUS PROSTATE CANCER CENTER/MORRISON |
| Practice Address |
620 Morrison Rd Gahanna OH 43230-5327 |
| Practice Telephone | 6149444770 |
| Practice Fax Number | 6149444771 |
| Mailing Telephone | 6149444770 |
| Mailing Fax Number | 6149444771 |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2019-01-25 |
| Authorized Official Name | MRS. NICOLE GIACOMELLI (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 6143962635 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Columbus Prostate Cancer Center/Morrison | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619409109 | Central Ohio Urology Group, LLC | Urology | 350 W Wilson Bridge Rd, Suite 100, Worthington, OH 43085-2217 | 2017-04-03 |
| 1073907309 | Central Ohio Urology Group, LLC | Urology | 701 Tech Center Dr, Suite 100, Gahanna, OH 43230-1987 | 2015-03-25 |
| 1144499237 | Central Ohio Urology Group, LLC | Urology | 750 Mount Carmel Mall, Suite 350, Columbus, OH 43222-1553 | 2008-02-22 |
| 1396780466 | Central Ohio Urology Group, LLC | Urology | 701 Tech Center Drive, Suite 100, Gahanna, OH 43230 | 2006-06-20 |
| Street Address |
620 MORRISON RD |
| City | GAHANNA |
| State | OH |
| Zip Code | 43230-5327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518695 | Adonna Fuller | Technician | 14o Imperial Drive, Apt 120, Gahanna, OH 43230 | 2020-11-02 |
| 1407471733 | Brent Flory | Counselor | 425 South Hamilton, Gahanna, OH 43230 | 2020-06-12 |
| 1245865252 | Amy Marie Cosma | Registered Nurse | 750 Cross Pointe Road, Suite D, Gahanna, OH 43230 | 2020-03-10 |
| 1447718010 | Yolanda Renee Davis | Case Manager/Care Coordinator | 1490 E Main St., Columbus, OH 43230 | 2019-03-03 |
| 1699261537 | Cap City Supported Living & Homecare Services, LLC | Home Health | 2305 South Hamilton Road, Suite 216, Columbus, OH 43230 | 2018-07-03 |
| 1467957183 | Kendra Marie Peterson | Specialist/Technologist | 1011 Arcaro Drive, Gahanna, OH 43230 | 2018-03-26 |
| 1467956805 | Beatrice Njeri Gachoro | Registered Nurse | 4484 Shady Blossom Ln, Columbus, OH 43230 | 2018-03-21 |
| 1760900211 | Centra Home Health Care, LLC | Home Health | 4745 Legare Ln, Columbus, OH 43230 | 2017-09-05 |
| 1386164325 | Ziad Al Hennawi | Dentist | 4034 Morse Rd, Columbus, OH 43230 | 2017-06-21 |
| 1336675503 | Fresenius Medical Care New Albany, LLC | Clinic/Center | 991 E Johnstown Rd, Gahanna, OH 43230 | 2017-05-10 |
| Find all providers in zip 43230 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063451367 | Andy J. Cho | Urology | 701 Tech Center Dr Ste 100, Gahanna, OH 43230-1987 | 2006-06-05 |
| 1841282969 | Scott D Barkin | Urology | 701 Tech Center Dr, Gahanna, OH 43230-1987 | 2005-08-16 |
| 1073907309 | Central Ohio Urology Group, LLC | Urology | 701 Tech Center Dr, Suite 100, Gahanna, OH 43230-1987 | 2015-03-25 |
| 1558527192 | Frederick Louis Taylor | Urology | 701 Tech Center Dr, Gahanna, OH 43230-1987 | 2008-08-04 |
| 1609893221 | Benjamin J Martin | Urology | 701 Tech Center Dr, Gahanna, OH 43230-1987 | 2006-07-17 |
| 1396780466 | Central Ohio Urology Group, LLC | Urology | 701 Tech Center Drive, Suite 100, Gahanna, OH 43230 | 2006-06-20 |
| 1417990565 | Roy Reginald Brown Jr. | Urology | 701 Tech Center Dr Ste 100, Gahanna, OH 43230-1987 | 2006-06-14 |
| 1720029903 | David W. Stewart | Urology | 701 Tech Center Dr, Gahanna, OH 43230-1987 | 2006-06-09 |
| 1942241260 | Jeffrey M. Carey | Urology | 701 Tech Center Dr Ste 100, Gahanna, OH 43230-1987 | 2006-06-09 |
| 1164463451 | Evan B. Cohn | Urology | 701 Tech Center Dr, Gahanna, OH 43230-1987 | 2006-06-09 |
| Find all providers in GAHANNA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.