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CENTRAL OHIO UROLOGY GROUP LLC NPI 1396780466


NPI Information

NPI: 1396780466
Provider Name: CENTRAL OHIO UROLOGY GROUP, LLC

Other Name: GROUP & UA

Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 36D2300260

Address:
701 TECH CENTER DRIVE
SUITE 100
GAHANNA, OH
ZIP 43230
Phone: (614) 396-2684
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CENTRAL OHIO UROLOGY GROUP, LLC is an urology in Gahanna, OH. The provider is 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. CENTRAL OHIO UROLOGY GROUP, LLC NPI is 1396780466. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Group & Ua.

The provider's business location address is:

701 TECH CENTER DRIVE
SUITE 100
GAHANNA, OH
ZIP 43230
Phone: (614) 396-2684
Fax: (614) 396-2480

The provider's authorized official is Nicole Giacomelli .
The authorized official title is Director Of Operations and has the following contact phone number (614) 396-2635.

The CLIA number assigned to this NPI record is 36D2300260 - other - outpt radiology with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/20/2006 and was last updated on 12/31/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11083883391OTHEROHIODMERC
2DF0566OTHEROHIORAILROAD MEDICARE
31518136605OTHEROHIODMERC
41811166986OTHEROHIODMERC
52660820MEDICAIDOHIO
61144499237OTHEROHIODMERC

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: 4/28/2024

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