Gu Ohio, LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

GU OHIO, LLC

Practice address

1225 Woodlawn Ave Ste 114
Cambridge, OH 43725-3094

Phone

(740) 213-7129

Fax

(440) 201-6574

NPI assigned

Feb 18, 2022

Last updated

Mar 7, 2023By 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

Benjamin Ryan Gibson, MDNPI 1619257508

Title

Owner

Phone

(740) 213-7129

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 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

Locations

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.

• Benjamin R Gibson, MD

  • Urology Physician
  • Cambridge, OH
  • NPI 1619257508
  Medicare reassignment NPD Authorized official
• Laura Hoffman

  • Primary Care Nurse Practitioner
  • Canton, OH
  • NPI 1508498924
  NPD (past)

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

{
    "created_epoch": "1645142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1871248740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5710 TWIN HILLS DR",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437017849",
            "telephone_number": "740-213-7129",
            "fax_number": "440-201-6574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 WOODLAWN AVE STE 114",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437253094",
            "telephone_number": "740-213-7129",
            "fax_number": "440-201-6574"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "905 N 21st St Ste D",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "OH",
            "postal_code": "430557251",
            "country_code": "US",
            "telephone_number": "740-255-5189",
            "fax_number": "833-637-1638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GU OHIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-18",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-213-7129",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1619257508",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsie Green
• William Thomas Green, O.D.
• Samantha Grewell
• Jueanina Grimm
• Rachelle Groah
• Guernsey Anesthesia Associates, Inc.
• Guernsey County General Health District (Cambridge-Guernsey County Health Department)
• Guernsey County General Health District (Cambridge - Guernsey County Health Department)
• Guernsey County Senior Citizens Center, Inc.
• Guernsey Emergency Group, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.