Active NPI
Central Ohio Colon and Rectal Ctr, Inc.
- Surgery Physician
- Columbus, OH
National Provider Identifier
1104976299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- CENTRAL OHIO COLON AND RECTAL CTR, INC.
- Practice address
- 5965 E Broad St
Suite 120
Columbus, OH 43213-1562 - Phone
- (614) 864-1000
- Fax
- (614) 864-1444
- NPI assigned
- Jan 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Angela M. Whitt, ESQ.
- Title
- Administrator
- Phone
- (614) 864-1000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
5965 E Broad St
Suite 120
Columbus, OH 43213-1562
Mailing address
5965 East Broad Street
Suite 120
Columbus, OH 43213
Phone (614) 864-1000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0374929 | Medicaid | OH | |
| 2313428 | Medicaid | OH | |
| 2327897 | Medicaid | OH | |
| 2313419 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
4885 Olentangy River Rd
Ste 2-30
Columbus, OH 43214
Phone (614) 451-3388
285 E State St
Ste 515
Columbus, OH 43215
Phone (614) 224-2012
291 W Schrock Rd
Ste 2A
Westerville, OH 43081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1320192000000",
"number": "1104976299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5965 EAST BROAD STREET",
"address_2": "SUITE 120",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43213",
"telephone_number": "614-864-1000",
"fax_number": "614-864-1444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5965 E BROAD ST",
"address_2": "SUITE 120",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432131562",
"telephone_number": "614-864-1000",
"fax_number": "614-864-1444"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL OHIO COLON AND RECTAL CTR, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-11",
"last_updated": "2011-11-02",
"status": "A",
"authorized_official_last_name": "WHITT",
"authorized_official_first_name": "ANGELA",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "614-864-1000",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "ESQ."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0374929",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2313428",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2327897",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2313419",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
- Central Ohio Behavioral Medicine Inc
- Central Ohio Cardiovascular Consultants, Inc
- Central Ohio Care Services LLC
- Central Ohio Case Management
- Central Ohio Clinical, LLC
- Central Ohio Compassion Care
- Central Ohio Elderly Care LLC
- Central Ohio Endocrinology
- Central Ohio Endoscopy Center, LLC
- Central Ohio Endoscopy Center, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.