Central Ohio Urology Group, LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

CENTRAL OHIO UROLOGY GROUP, LLC

Practice address

750 Mount Carmel Mall
Suite 350
Columbus, OH 43222-1553

Phone

(614) 396-2684

Fax

(614) 396-2480

NPI assigned

Feb 22, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Edward B Pewitt, M.D.

Title

Secretary/Treasurer

Phone

(614) 396-2684

Specialties & licenses 1

Addresses

Other names 1

• Mt. Carmel Mall DME Other name

Locations

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548374400000",
    "number": "1144499237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 MOUNT CARMEL MALL",
            "address_2": "SUITE 350",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221553",
            "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": "750 MOUNT CARMEL MALL",
            "address_2": "SUITE 350",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221553",
            "telephone_number": "614-396-2684",
            "fax_number": "614-396-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL OHIO UROLOGY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2019-01-25",
        "status": "A",
        "authorized_official_last_name": "PEWITT",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "614-396-2684",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mt. Carmel Mall DME",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Mt. Carmel Mall DME",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Central Ohio Therapies, LLC
• Central Ohio Thoracic & Cardiovascular Surgery
• Central Ohio Transitional Initiative / Foundation
• Central Ohio Transitional Initiative / Foundation
• Central Ohio Urgent Care
• Central Ohio Urology Surgery Center, LLC
• Central Ohio Weight Loss Clinic,LLC
• Central Ohio Wound Care Specialists
• Central Ohio Wound Ostomy Services LLC
• Central Ohio Youth Advocacy Program

• Urology Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Urology Physician in Ohio

• 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.