Active NPI
Central Ohio Surgical Institute, LLC
- Ambulatory Surgical Clinic/Center
- New Albany, OH
National Provider Identifier
1689674285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 0733AS
- Legal business name
- CENTRAL OHIO SURGICAL INSTITUTE, LLC
- Practice address
- 6520 W Campus Oval
New Albany, OH 43054-8726 - Phone
- (614) 413-2233
- Fax
- (614) 413-2234
- NPI assigned
- Jul 26, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Marcy Delvecchio
- Title
- Administrator
- Phone
- (614) 413-2233
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 0733AS | OH | Primary |
Addresses
Primary practice location
6520 W Campus Oval
New Albany, OH 43054-8726
Mailing address
6520 W Campus Oval
New Albany, OH 43054-8726
Phone (614) 413-2233
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2500752 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040506000004 | OH | Part B Supplier - Ambulatory Surgical Center | 5991793903 | Practice locations: New Albany, OH |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Central Ohio Surgical Institute
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D1017596 | Central Ohio Surgical Institute LLC | Certificate of waiver | Sep 29, 2027 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Grant Medical Center
- General Acute Care Hospital
- Columbus, OH
- NPI 1255377149
Member Of
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Otolaryngology/Facial Plastic Surgery Physician
- Bellefontaine, OH
- NPI 1811982085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581379200000",
"number": "1689674285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6520 W CAMPUS OVAL",
"city": "NEW ALBANY",
"state": "OH",
"postal_code": "430548726",
"telephone_number": "614-413-2233",
"fax_number": "614-413-2234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6520 W CAMPUS OVAL",
"city": "NEW ALBANY",
"state": "OH",
"postal_code": "430548726",
"telephone_number": "614-413-2233",
"fax_number": "614-413-2234"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL OHIO SURGICAL INSTITUTE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-26",
"last_updated": "2020-02-11",
"certification_date": "2020-02-11",
"status": "A",
"authorized_official_last_name": "DELVECCHIO",
"authorized_official_first_name": "MARCY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "614-413-2233",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "OH",
"license": "0733AS",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2500752",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Albany, OH
- Susan J Carpico, CRNA
- Carter Douglas Properties, LLC (Health Care Concierge)
- CCHS Inc-Johnstown
- Center for Specialty Surgery of Columbus, LLC (Center for Specialty Surgery of Columbus)
- Central Ohio Geriatric Specialists
- Central Ohio Vision and Eyecare, LLC
- Child Behavior Support Services, LLC
- Chris a. Smiley, O.D. and Associates, LLC (Vision Professionals)
- Rhea Chung
- Felisha Michelle Clinkscale
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; 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.