NPIMap

Organization Active NPI

Central Ohio Urology Group, LLC

  • Urology Physician
  • Gahanna, OH
National Provider Identifier
1073907309
Registry record updated Jan 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
1495470 Issued in OH
Legal business name
CENTRAL OHIO UROLOGY GROUP, LLC
Practice address
701 Tech Center Dr
Suite 100
Gahanna, OH 43230-1987
Phone
(614) 396-2684
Fax
(614) 396-2480
NPI assigned
Mar 25, 2015
Last updated
Jan 25, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2019

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

Authorized official

Name
Mrs. Nicole Giacomelli
Title
Director of Operations
Phone
(614) 396-2635

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 1495470 OH Primary

Addresses

Primary practice location

701 Tech Center Dr
Suite 100
Gahanna, OH 43230-1987

Mailing address

701 Tech Center Dr
Suite 100
Gahanna, OH 43230-1987
Phone (614) 396-2684

Other identifiers 1

IdentifierTypeStateIssuer
2660820MedicaidOH

National Provider Directory

National Provider Directory

Locations

7901 Diley Rd
Ste 260
Canal Wnchstr, OH 43110
Phone (614) 833-0000

3555 Olentangy River Rd
Ste 4020
Columbus, OH 43214
Phone (614) 268-2323

5340 E Main St
#100
Columbus, OH 43213
Phone (614) 751-1010

5040 Bradenton Ave
Ste B
Dublin, OH 43017

620 Morrison Rd
#A
Gahanna, OH 43230

620 Morrison Rd
#B
Gahanna, OH 43230
Phone (614) 944-4770

701 Tech Center Dr
Ste 100
Gahanna, OH 43230
Phone (440) 724-4498

5775 N Meadows Dr
Ste C
Grove City, OH 43123
Phone (614) 221-9262

3958 Leap Rd
Ste 101
Hilliard, OH 43026
Phone (614) 876-7330

1030 Refugee Rd
Ste 299
Pickerington, OH 43147
Phone (614) 523-1111

625 Africa Rd
Ste 200
Westerville, OH 43082
Phone (614) 847-4100

625 Africa Rd
Ste 340
Westerville, OH 43082
Phone (614) 729-8483

350 W Wilson Bridge Rd
Ste 100
Worthington, OH 43085
Phone (614) 268-2323

Practitioners & affiliated clinicians

Practitioners 69

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 69

NPI Registry JSON

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548374400000",
    "number": "1073907309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 TECH CENTER DR",
            "address_2": "SUITE 100",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432301987",
            "telephone_number": "614-396-2684",
            "fax_number": "614-396-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 TECH CENTER DR",
            "address_2": "SUITE 100",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432301987",
            "telephone_number": "614-396-2684",
            "fax_number": "614-396-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL OHIO UROLOGY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-25",
        "last_updated": "2019-01-25",
        "status": "A",
        "authorized_official_last_name": "GIACOMELLI",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "614-396-2635",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OH",
            "license": "1495470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2660820",
            "state": "OH"
        }
    ],
    "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 Jan 25, 2019; 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.