Organization Active NPI

Central Ohio Urology Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Gahanna, OH
National Provider Identifier
1881948073
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
CENTRAL OHIO UROLOGY SURGERY CENTER, LLC
Practice address
701 Tech Center Dr Ste 200
Gahanna, OH 43230-1987
Phone
(614) 396-2684
NPI assigned
Nov 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Authorized official

Name
Amanda Lewis
Title
Cno
Phone
(614) 396-8684

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X OH Primary

Addresses

Primary practice location

701 Tech Center Dr Ste 200
Gahanna, OH 43230-1987

Mailing address

701 Tech Center Dr
Gahanna, OH 43230-1987
Phone (614) 396-2684

Other practice location 1

701 Tech Center Dr
Gahanna, OH 43230
Phone (614) 396-2684

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080411000343 OH Part B Supplier - Ambulatory Surgical Center 1153408398 1 other NPI on this enrollment
Practice locations: Gahanna, OH

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Central Ohio Urology Surgery CenterCCN 36C0001276
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2060190Central Ohio Urology Surgery Center701 Tech Center Dr Ste 200, Gahanna, OH 43230Certificate of waiverJun 6, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1352419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744329600000",
    "number": "1881948073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 TECH CENTER DR",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432301987",
            "telephone_number": "614-396-2684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 TECH CENTER DR STE 200",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432301987",
            "telephone_number": "614-396-2684"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Tech Center Dr",
            "address_purpose": "LOCATION",
            "city": "Gahanna",
            "state": "OH",
            "postal_code": "43230",
            "country_code": "US",
            "telephone_number": "614-396-2684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTRAL OHIO UROLOGY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-09",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "CNO",
        "authorized_official_telephone_number": "614-396-8684"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gahanna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; 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.