West Central Ohio Urological Centers of Excellence, LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

WEST CENTRAL OHIO UROLOGICAL CENTERS OF EXCELLENCE, LLC

Doing business as

Crossroads Urology

Practice address

2751 Fort Amanda Rd
Lima, OH 45805-4805

Phone

(419) 855-5119

Fax

(419) 614-6027

NPI assigned

Nov 28, 2022

Last updated

Nov 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Craig Alan NicholsonNPI 1033223318

Title

Owner

Phone

(567) 529-9000

Specialties & licenses 1

Addresses

Other names 1

• Crossroads Urology Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Tax ID family

Crossroads Urology2 organizations share this tax ID, including this one

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

  dba Crossroads Urology

  • Non-Pharmacy Dispensing Site
  • Lima, OH
  • NPI 1346050309
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Nicholson Urology LLC

  dba Crossroads Urology

  • Non-Pharmacy Dispensing Site
  • Lima, OH
  • NPI 1669297941
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Craig Alan Nicholson, MD

  • Urology Physician
  • Lima, OH
  • NPI 1033223318
  Medicare reassignment NPD Authorized official
• Sirin Foster, CNP

  • Family Nurse Practitioner
  • Lima, OH
  • NPI 1306660089
  Medicare reassignment NPD

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1720798101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 SHOREVIEW DR",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458053684",
            "telephone_number": "419-855-5119",
            "fax_number": "419-614-6027"
        },
        {
            "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": "419-855-5119",
            "fax_number": "419-614-6027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST CENTRAL OHIO UROLOGICAL CENTERS OF EXCELLENCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-28",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "NICHOLSON",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "567-529-9000"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroads Urology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Crossroads Urology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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 (Crossroads Urology)
• West Elm Family Dentistry LLC
• West Market Street Family Phys
• West Ohio Dermatology, Inc.
• Emily Westrick, OT
• Darlene Weyer, DO

• Urology Physician in Lima, OH
• Providers in Lima, OH by specialty
• Urology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.