Central Ohio Endoscopy Center, LLC

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

Legal business name

CENTRAL OHIO ENDOSCOPY CENTER, LLC

Practice address

1025 Refugee Rd FL 1
Pickerington, OH 43147-9861

Phone

(614) 754-5500

Fax

(614) 754-5501

NPI assigned

Oct 16, 2018

Organization subpart

Yes

Parent organization

CENTRAL OHIO ENDOSCOPY CENTER, LLCAs reported in NPPES

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

Authorized official

Name

Bruce L Hennessy, MD

Title

Medical Director

Phone

(614) 754-5500

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Central Ohio Endoscopy Center, LLC

  • Endoscopy Clinic/Center
  • Columbus, OH
  • NPI 1003220187

  2860553120

  Same PAC ID
• Central Ohio Endoscopy Center, LLC

  • Endoscopy Clinic/Center
  • Gahanna, OH
  • NPI 1023820115

  2860553120

  Same PAC ID
• Central Ohio Endoscopy Center, LLC

  • Endoscopy Clinic/Center
  • Dublin, OH
  • NPI 1295911154

  2860553120

  Same PAC ID
• Central Ohio Endoscopy Center, LLC

  • Endoscopy Clinic/Center
  • Columbus, OH
  • NPI 1336218825

  2860553120

  Same PAC ID
• Central Ohio Endoscopy Center, LLC

  • Endoscopy Clinic/Center
  • Westerville, OH
  • NPI 1902431646

  2860553120

  Same PAC ID

Listed as

Central Ohio Endoscopy Center LLCCCN 36C0001319

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Central Ohio Endoscopy Center LLC6 organizations share this tax ID, including this one

Part of

Central Ohio Endoscopy Center LLC

Other organizations with this tax ID 5

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

• Central Ohio Endoscopy Center, LLC

  • Endoscopy Clinic/Center
  • Columbus, OH
  • NPI 1003220187
  NPD tax ID
• Central Ohio Endoscopy Center, LLC

  • Endoscopy Clinic/Center
  • Gahanna, OH
  • NPI 1023820115
  NPD tax ID
• Central Ohio Endoscopy Center, LLC

  • Endoscopy Clinic/Center
  • Dublin, OH
  • NPI 1295911154
  NPD tax ID
• Central Ohio Endoscopy Center, LLC

  • Endoscopy Clinic/Center
  • Columbus, OH
  • NPI 1336218825
  NPD tax ID
• Central Ohio Endoscopy Center, LLC

  • Endoscopy Clinic/Center
  • Westerville, OH
  • NPI 1902431646
  NPD tax ID

Locations

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541635200000",
    "number": "1386110575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 OLENTANGY RIVER RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021523",
            "telephone_number": "614-754-5500",
            "fax_number": "614-457-9519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 REFUGEE RD FL 1",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431479861",
            "telephone_number": "614-754-5500",
            "fax_number": "614-754-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL OHIO ENDOSCOPY CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL OHIO ENDOSCOPY CENTER, LLC",
        "enumeration_date": "2018-10-16",
        "last_updated": "2018-11-08",
        "status": "A",
        "authorized_official_last_name": "HENNESSY",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "614-754-5500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alisha Danielle Carter
• Phillermena A Carter
• Teara Carter
• Faith Ann Carver
• Kathleen Casto, RN
• Central Ohio Root Canals, LLC
• Lawrence Chandler
• Edith Chang
• Everett L Chapman, D.D.S.
• Patrick Chau, RPH

• Endoscopy Clinic/Center in Pickerington, OH
• Providers in Pickerington, OH by specialty
• Endoscopy Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; 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.