Central Ohio Urology Group, LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

CENTRAL OHIO UROLOGY GROUP, LLC

Practice address

350 W Wilson Bridge Rd
Suite 100
Worthington, OH 43085-2217

Phone

(614) 796-2900

Fax

(614) 796-2901

NPI assigned

Apr 3, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Nicole Giacomelli

Title

Director of Operations

Phone

(614) 396-2635

Specialties & licenses 1

Addresses

Other identifiers 1

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 Urology Group3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Central Ohio Urology Group LLC

  • Urology Physician
  • Dublin, OH
  • NPI 1952578338
  NPD tax ID
• Central Ohio Urology Group, LLC

  • Urology Physician
  • Gahanna, OH
  • NPI 1083889752
  NPD tax ID

Locations

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548374400000",
    "number": "1619409109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 W WILSON BRIDGE RD",
            "address_2": "SUITE 100",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852217",
            "telephone_number": "614-796-2900",
            "fax_number": "614-796-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W WILSON BRIDGE RD",
            "address_2": "SUITE 100",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852217",
            "telephone_number": "614-796-2900",
            "fax_number": "614-796-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL OHIO UROLOGY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-03",
        "last_updated": "2019-01-25",
        "status": "A",
        "authorized_official_last_name": "GIACOMELLI",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "614-396-2635",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2660820",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Center for Eating Disorders & Psychotherapy
• Center for the Humane Option in Childbirth Experineces
• Central Ohio Compounding Pharmacy
• Central Ohio Counseling Inc.
• Central Ohio Endodontics
• Central Ohio Wellness Counseling, LLC
• Malinda Chalfant
• Amstrong Zhi Cham
• Sophia Chambers
• Ernest Chapda

• Urology Physician in Worthington, OH
• Providers in Worthington, 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.
• 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.