NPIMap

Organization Active NPI

Central Ohio Endoscopy Center, LLC

  • Endoscopy Clinic/Center
  • Gahanna, OH
National Provider Identifier
1023820115
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endoscopy Clinic/CenterTaxonomy code 261QE0800X
Legal business name
CENTRAL OHIO ENDOSCOPY CENTER, LLC
Practice address
722 Buckles CT N Ste 110
Gahanna, OH 43230-6923
Phone
(614) 754-5500
NPI assigned
Jan 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Authorized official

Name
Angela N Fisher
Title
Director of Medical Staff Service
Phone
(614) 754-5500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endoscopy Clinic/Center 261QE0800X Primary

Addresses

Primary practice location

722 Buckles CT N Ste 110
Gahanna, OH 43230-6923

Mailing address

3400 Olentangy River Rd
Columbus, OH 43202-1523
Phone (614) 754-5500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ohio.gastro@directaddress.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250814002504 OH Part B Supplier - Ambulatory Surgical Center 2860553120 Practice locations: Gahanna, OH

Ambulatory surgical center certification: CCN 36C0001369

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
Central Ohio Endoscopy Center LLC
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Sep 30, 2025
Last certification
Sep 9, 2025
Ownership / control type
Proprietary
Facility address
722 Buckles Ct N, Ste 110
Columbus, OH 43230

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2317650Central Ohio Endoscopy Center, LLC722 Buckles Court North, Suite 110, Gahanna, OH 43230Certificate of waiverJan 28, 2027

National Provider Directory

National Provider Directory
Tax ID family
Central Ohio Endoscopy Center LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

722 Buckles Ct N
Ste 110
Gahanna, OH 43230

Interoperability endpoints

  • Direct secure messaging: ohio.gastro@directaddress.net

NPI Registry JSON

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

{
    "created_epoch": "1737676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770681600000",
    "number": "1023820115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 OLENTANGY RIVER RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021523",
            "telephone_number": "614-754-5500",
            "fax_number": "614-457-9519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 BUCKLES CT N STE 110",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432306923",
            "telephone_number": "614-754-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL OHIO ENDOSCOPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-24",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DIRECTOR OF MEDICAL STAFF SERVICE",
        "authorized_official_telephone_number": "614-754-5500"
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ohio.gastro@directaddress.net",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "722 Buckles Ct N Ste 110",
            "city": "Gahanna",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432306923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gahanna, OH

Sources for this page

Verify at the official NPI Registry.