Central Ohio Urology Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

0843AS Issued in OH

Legal business name

CENTRAL OHIO UROLOGY SURGERY CENTER, LLC

Practice address

3100 Plaza Properties Boulevard
Suite 320
Columbus, OH 43219

Phone

(614) 751-1010

Fax

(614) 751-4692

NPI assigned

Aug 9, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Linda M. Miller, M.B.A.

Title

Coo

Phone

(614) 944-4820

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Central Ohio Urology Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Gahanna, OH
  • NPI 1881948073

  O20080411000343

  Same enrollment

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason Thomas Jankowski, M.D.

  • Urology Physician
  • Pickerington, OH
  • NPI 1053512822
  NPD (past)

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301529600000",
    "number": "1265624696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 PLAZA PROPERTIES BLVD",
            "address_2": "SUITE 310",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432191531",
            "telephone_number": "614-944-4800",
            "fax_number": "614-944-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 PLAZA PROPERTIES BOULEVARD",
            "address_2": "SUITE 320",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43219",
            "telephone_number": "614-751-1010",
            "fax_number": "614-751-4692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL OHIO UROLOGY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-09",
        "last_updated": "2011-03-31",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "614-944-4820",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.B.A."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OH",
            "license": "0843AS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID NUMBER",
            "identifier": "2863325",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE CERTIFICATION NUMBER",
            "identifier": "36C0001231",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• Ambulatory Surgical Clinic/Center in Columbus, OH
• Providers in Columbus, OH by specialty
• Ambulatory Surgical Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.