Organization Active NPI

Westside Urology, Inc

  • Specialist
  • Columbus, OH
National Provider Identifier
1043499536
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
WESTSIDE UROLOGY, INC
Practice address
108 N Murray Hill Rd
Columbus, OH 43228-1524
Phone
(614) 878-0077
Fax
(614) 870-9117
NPI assigned
Oct 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Robert I Lewis, D.O.
Title
Owner
Phone
(614) 878-0077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X OH Primary

Addresses

Primary practice location

108 N Murray Hill Rd
Columbus, OH 43228-1524

Mailing address

108 N Murray Hill Rd
Columbus, OH 43228-1524
Phone (614) 878-0077

Other identifiers 6

IdentifierTypeStateIssuer
189401948005OtherOHMEDICAL MUTUAL OF OHIO
0487941MedicaidOH
1466066OtherUMWA
4391061OtherOHAETNA
1900129OtherUHC
0280OtherMUTUAL OF OMAHA

National Provider Directory

National Provider Directory

Locations

108 N Murray Hill Rd
Columbus, OH 43228
Phone (614) 878-0077

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1043499536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 N MURRAY HILL RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432281524",
            "telephone_number": "614-878-0077",
            "fax_number": "614-870-9117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N MURRAY HILL RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432281524",
            "telephone_number": "614-878-0077",
            "fax_number": "614-870-9117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE UROLOGY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-878-0077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL OF OHIO",
            "identifier": "189401948005",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0487941",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "1466066",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4391061",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "1900129",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MUTUAL OF OMAHA",
            "identifier": "0280",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.