Active NPI
Central Ohio Urology Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Gahanna, OH
National Provider Identifier
1881948073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
- Ambulatory Surgical Clinic/Center
- Columbus, OH
- NPI 1265624696
O20080411000343
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Central Ohio Urology Surgery Center
- 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 |
|---|---|---|---|
| 36D2060190 | Central Ohio Urology Surgery Center | Certificate of waiver | Jun 6, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 24
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urology Physician
- Worthington, OH
- NPI 1134173339
-
- Urology Physician
- Gahanna, OH
- NPI 1841282969
-
- Urology Physician
- Worthington, OH
- NPI 1023013505
-
- Gynecology Physician
- Columbus, OH
- NPI 1558367862
-
- Urology Physician
- Gahanna, OH
- NPI 1942241260
-
- Urology Physician
- Gahanna, OH
- NPI 1063451367
-
- Urology Physician
- Gahanna, OH
- NPI 1164463451
-
- Urology Physician
- Worthington, OH
- NPI 1174919948
-
- Urology Physician
- Worthington, OH
- NPI 1366515405
-
- Urology Physician
- London, OH
- NPI 1841239142
-
- Urology Physician
- Gahanna, OH
- NPI 1114971512
-
- Urology Physician
- Gahanna, OH
- NPI 1609893221
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.