Organization Active NPI

Central Ohio Urology Group, LLC

  • Urology Physician
  • Gahanna, OH
National Provider Identifier
1083889752
Registry record updated Jan 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
CENTRAL OHIO UROLOGY GROUP, LLC
Practice address
620 Morrison Rd
Gahanna, OH 43230-5327
Phone
(614) 944-4770
Fax
(614) 944-4771
NPI assigned
Apr 24, 2008
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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

620 Morrison Rd
Gahanna, OH 43230-5327

Mailing address

620 Morrison Rd
Gahanna, OH 43230-5327
Phone (614) 944-4770

Other names 1

  • Columbus Prostate Cancer Center/Morrison Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Central Ohio Urology Group3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548374400000",
    "number": "1083889752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 MORRISON RD",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432305327",
            "telephone_number": "614-944-4770",
            "fax_number": "614-944-4771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 MORRISON RD",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432305327",
            "telephone_number": "614-944-4770",
            "fax_number": "614-944-4771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL OHIO UROLOGY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbus Prostate Cancer Center/Morrison",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Columbus Prostate Cancer Center/Morrison",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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.