CENTRAL OHIO GERIATRICS LLC NPI 1073753794

NPI Information

  • NPI: 1073753794
  • Provider Name: CENTRAL OHIO GERIATRICS LLC
  • Classification: Internal Medicine - 207RG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Organization
  • CLIA Number: 36D2155330
  • Address: 590 NEWARK GRANVILLE RD
    GRANVILLE, OH
    ZIP 43023
  • Phone: (888) 531-7444

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NPI Details

CENTRAL OHIO GERIATRICS LLC is a geriatric medicine internal medicine in Granville, OH. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. CENTRAL OHIO GERIATRICS LLC NPI is 1073753794. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

590 NEWARK GRANVILLE RD
GRANVILLE, OH
ZIP 43023-436
Phone: (888) 531-7444
Fax: (888) 531-7444

The provider's authorized official is John Mark Weigand .
The authorized official title is President and has the following contact phone number (888) 531-7444.

The CLIA number assigned to this NPI record is 36D2155330 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/21/2009 and was last updated on 6/8/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0300XInternal MedicineGeriatric Medicine35-060271OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12968267MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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