West Central Ohio Urological Centers of Excellence, LLC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

WEST CENTRAL OHIO UROLOGICAL CENTERS OF EXCELLENCE, LLC

Practice address

2751 Fort Amanda Rd
Lima, OH 45805-4805

Phone

(567) 529-9000

Fax

(567) 529-9001

NPI assigned

Jan 11, 2025

Organization subpart

Yes

Parent organization

NICHOLSON UROLOGY LLCAs reported in NPPES

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

Authorized official

Name

Mrs. Kelly Elaine Bowers, BSN, RN

Title

Chief Operating Officer

Phone

(567) 529-9000

Specialties & licenses 1

Addresses

Other names 1

• Crossroads Urology Doing business as

Tax ID family

Crossroads Urology2 organizations share this tax ID, including this one

Part of

Nicholson Urology LLC

Other organizations with this tax ID 1

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

• West Central Ohio Urological Centers of Excellence, LLC

  • Urology Physician
  • Lima, OH
  • NPI 1720798101
  NPD tax ID

Locations

Practitioners 1

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

• Craig Alan Nicholson, MD

  • Urology Physician
  • Lima, OH
  • NPI 1033223318
  NPD

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

{
    "created_epoch": "1736553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736553600000",
    "number": "1346050309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 FORT AMANDA RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458054805",
            "telephone_number": "567-529-9000",
            "fax_number": "567-529-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 FORT AMANDA RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458054805",
            "telephone_number": "567-529-9000",
            "fax_number": "567-529-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST CENTRAL OHIO UROLOGICAL CENTERS OF EXCELLENCE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NICHOLSON UROLOGY LLC",
        "enumeration_date": "2025-01-11",
        "last_updated": "2025-01-11",
        "certification_date": "2025-01-11",
        "status": "A",
        "authorized_official_last_name": "BOWERS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "567-529-9000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroads Urology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• West Central Ohio Group LTD.
• West Central Ohio Histology, LLC
• West Central Ohio Orthopedics & Sports Medicine, Inc.
• West Central Ohio Podiatry Inc.
• West Central Ohio Surgery & Endoscopy Center, LLC
• West Central Ohio Urological Centers of Excellence, LLC
• West Elm Family Dentistry LLC
• West Market Street Family Phys
• West Ohio Dermatology, Inc.
• Emily Westrick, OT

• Non-Pharmacy Dispensing Site in Lima, OH
• Providers in Lima, OH by specialty
• Non-Pharmacy Dispensing Site in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2025; 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.