Organization Active NPI

Central Ohio Gastroenterology Associates,LLC

  • Ambulatory Surgical Clinic/Center
  • Columbus, OH
National Provider Identifier
1104835776
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
CENTRAL OHIO GASTROENTEROLOGY ASSOCIATES,LLC
Practice address
99 North Brice Road
Suite 160
Columbus, OH 43213-1546
Phone
(614) 575-2600
Fax
(614) 575-2602
NPI assigned
Aug 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

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

Authorized official

Name
Dr. Anjana Samadder, M.D.NPI 1811053309
Title
President
Phone
(614) 575-2600

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
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

99 North Brice Road
Suite 160
Columbus, OH 43213-1546

Mailing address

99 North Brice Road
Suite 160
Columbus, OH 43213-1546
Phone (614) 575-2600

Other names 1

  • Mid Ohio Surgery Center Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080206000392 OH Part B Supplier - Ambulatory Surgical Center 8123101706 Receives reassigned benefits from 1 practitioner
Practice locations: Columbus, OH

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Mid Ohio Surgery CenterCCN 36C0001227
Medicare certification status
ActiveFrom the Provider of Services file

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
36D1062421Mid Ohio Surgery Center99 North Brice Road Suite 160, Columbus, OH 43213Certificate of waiverDec 13, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1104835776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 NORTH BRICE ROAD",
            "address_2": "SUITE 160",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131546",
            "telephone_number": "614-575-2600",
            "fax_number": "614-575-2602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 NORTH BRICE ROAD",
            "address_2": "SUITE 160",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131546",
            "telephone_number": "614-575-2600",
            "fax_number": "614-575-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL OHIO GASTROENTEROLOGY ASSOCIATES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "SAMADDER",
        "authorized_official_first_name": "ANJANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-575-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mid Ohio Surgery Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Feb 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.