Edward Bradley Pewitt (NPI# 1104873744, PAC ID# 7315830593) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1104873744 |
| PAC ID by PECOS | 7315830593 |
| Professional Enrollment ID | I20040203000252 |
| Full Name | Edward Bradley Pewitt |
| Organization Legal Name | CENTRAL OHIO UROLOGY GROUP, LLC. |
| Address |
350 W Wilson Bridge Rd Suite 100 Worthington OH 43085-2217 |
| Phone Number | 6142682323 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 5395758882 |
| Number of Group Practice Members | 31 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360035 | MOUNT CARMEL WEST |
| 360006 | RIVERSIDE METHODIST HOSPITAL |
| 360017 | GRANT MEDICAL CENTER |
| 361331 | FAYETTE COUNTY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 701 Tech Ctr Dr, Gahanna, OH 43230-1987 | 6143962684 | CENTRAL OHIO UROLOGY GROUP, LLC. |
| 651 W Marion Rd, Mt Gilead, OH 43338-1027 | 6144597600 | CENTRAL OHIO UROLOGY GROUP, LLC. |
| 350 W Wilson Bridge Rd, Suite 100, Worthington, OH 43085-2217 | 6142682323 | CENTRAL OHIO UROLOGY GROUP, LLC. |
| Organization Legal Name | CENTRAL OHIO UROLOGY GROUP, LLC. |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Joseph Piroli | Radiation Oncology | Central Ohio Urology Group, LLC. | 620 A Morrison Rd, Gahanna, OH 43230-5327 |
| William E Bloch | Urology | Central Ohio Urology Group, LLC. | 350 W Wilson Bridge Rd, Suite 100, Worthington, OH 43085-2217 |
| Adam Craig Weiser | Urology | Central Ohio Urology Group, LLC. | 7901 Diley Rd, Suite 260, Canal Winchester, OH 43110-9613 |
| Andy Jinuk Cho | Urology | Central Ohio Urology Group, LLC. | 350 W Wilson Bridge Rd, Suite 100, Worthington, OH 43085-2217 |
| Deborah Sue Cole | Nurse Practitioner | Central Ohio Urology Group, LLC. | 701 Tech Ctr Dr, Suite 100, Gahanna, OH 43230-1987 |
| Richard Klump | Urology | Central Ohio Urology Group, LLC. | 350 W Wilson Bridge Rd, Suite 100, Worthington, OH 43085-2217 |
| Michelle D Bennett | Physician Assistant | Central Ohio Urology Group, LLC. | 350 W Wilson Bridge Rd, Suite 100, Worthington, OH 43085-2217 |
| Whitney Staub | Nurse Practitioner | Central Ohio Urology Group, LLC. | 701 Tech Ctr Dr, Gahanna, OH 43230-1987 |
| Alicia Ann Philip | Nurse Practitioner | Central Ohio Urology Group, LLC. | 350 W Wilson Bridge Rd, Suite 100, Worthington, OH 43085-2217 |
| Daniel J Menefee | Nurse Practitioner | Central Ohio Urology Group, LLC. | 701 Tech Ctr Dr, Suite 100, Gahanna, OH 43230-1987 |
| Street Address |
350 W WILSON BRIDGE RD SUITE 100 |
| City | WORTHINGTON |
| State | OH |
| Zip | 43085-2217 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William E Bloch | Urology | Central Ohio Urology Group, LLC. | 350 W Wilson Bridge Rd, Suite 100, Worthington, OH 43085-2217 |
| Christopher F Hyer | Podiatry | Ohio Foot and Ankle, Inc | 350 W Wilson Bridge Rd, Suite 200, Worthington, OH 43085-2217 |
| Andy Jinuk Cho | Urology | Central Ohio Urology Group, LLC. | 350 W Wilson Bridge Rd, Suite 100, Worthington, OH 43085-2217 |
| Richard Klump | Urology | Central Ohio Urology Group, LLC. | 350 W Wilson Bridge Rd, Suite 100, Worthington, OH 43085-2217 |
| Michelle D Bennett | Physician Assistant | Central Ohio Urology Group, LLC. | 350 W Wilson Bridge Rd, Suite 100, Worthington, OH 43085-2217 |
| Alicia Ann Philip | Nurse Practitioner | Central Ohio Urology Group, LLC. | 350 W Wilson Bridge Rd, Suite 100, Worthington, OH 43085-2217 |
| Paul N Kaufman | Urology | Central Ohio Urology Group, LLC. | 350 W Wilson Bridge Rd, Suite 100, Worthington, OH 43085-2217 |
| Rashmi I Patel | Urology | Central Ohio Urology Group, LLC. | 350 W Wilson Bridge Rd, Suite 100, Worthington, OH 43085-2217 |
| Joshua W Banks | Physical Therapy | Ohio Foot and Ankle, Inc | 350 W Wilson Bridge Rd, Suite 200, Worthington, OH 43085-2217 |
| Matthew R Riebel | Urology | Central Ohio Urology Group, LLC. | 350 W Wilson Bridge Rd, Suite 100, Worthington, OH 43085-2217 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas Kelly Hunt | Physician Assistant | Ohio Foot and Ankle, Inc | 350 W Wilson Bridge Rd, Suite 200, Worthington, OH 43085-2217 |
| Bryon J Mckenna | Podiatry | Ohio Foot and Ankle, Inc | 350 W Wilson Bridge Rd, Suite 200, Worthington, OH 43085-2217 |
| Cassandra C Heller | Nurse Practitioner | Central Ohio Urology Group, LLC. | 350 W Wilson Bridge Rd, Suite 100, Worthington, OH 43085-2217 |
| Gregory Charles Berlet | Orthopedic Surgery | Ohio Foot and Ankle, Inc | 350 W Wilson Bridge Rd, Suite 200, Worthington, OH 43085-2217 |
| Patrick Elliott Bull | Orthopedic Surgery | Ohio Foot and Ankle, Inc | 350 W Wilson Bridge Rd, Suite 200, Worthington, OH 43085-2217 |
| Frederick Taylor | Urology | Central Ohio Urology Group, LLC. | 350 W Wilson Bridge Rd, Suite 100, Worthington, OH 43085-2217 |
| Kyra Weems | Physical Therapy | Ohio Foot and Ankle, Inc | 350 W Wilson Bridge Rd, Suite 200, Worthington, OH 43085-2217 |
| Benjamin James Martin | Urology | Central Ohio Urology Group, LLC. | 350 W Wilson Bridge Rd, Suite 100, Worthington, OH 43085-2217 |
| Travis M Langan | Podiatry | Ohio Foot and Ankle, Inc | 350 W Wilson Bridge Rd, Suite 200, Worthington, OH 43085-2217 |
| Mark Andrew Prissel | Podiatry | Ohio Foot and Ankle, Inc | 350 W Wilson Bridge Rd, Suite 200, Worthington, OH 43085-2217 |
| Find all physicians in zip 43085 | |||
| City | WORTHINGTON |
| Zip Code | 43085 |
| Specialty | UROLOGY |
| City + Specialty | WORTHINGTON + UROLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.