NPIMap

Organization Active NPI

Central Ohio Breast and Endocrine Surgery LLC

  • Surgery Physician
  • Gahanna, OH
National Provider Identifier
1073063145
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
CENTRAL OHIO BREAST AND ENDOCRINE SURGERY LLC
Practice address
1080 Beecher Xing N Ste a
Gahanna, OH 43230-4557
Phone
(614) 547-1770
Fax
(614) 547-1773
NPI assigned
Oct 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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

Authorized official

Name
Naomi H Chen, MDNPI 1619154739
Title
Owner
Phone
(614) 547-1770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

1080 Beecher Xing N Ste a
Gahanna, OH 43230-4557

Mailing address

PO Box 91330
Columbus, OH 43209-7330
Phone (614) 636-2558

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161227002058 OH Part B Supplier - Clinic/Group Practice 7214218577 Receives reassigned benefits from 1 practitioner
Practice locations: New Albany, OH; Westerville, OH; Gahanna, OH; Dublin, OH; Delaware, OH; Columbus, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1073063145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91330",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432097330",
            "telephone_number": "614-636-2558",
            "fax_number": "614-505-7512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 BEECHER XING N STE A",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432304557",
            "telephone_number": "614-547-1770",
            "fax_number": "614-547-1773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL OHIO BREAST AND ENDOCRINE SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-12",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "NAOMI",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-547-1770",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gahanna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.