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CENTRAL OHIO GERIATRICS LLC
NPI 1073753794
Internal Medicine - Geriatric Medicine in Granville, OH

Active since February 21, 2009
590 NEWARK GRANVILLE RD, GRANVILLE, OH 43023(888) 531-7444(888) 531-7444 Get Directions Write a Review

NPPES record last updated: June 8, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 8, 2025, Jul 30, 2019 (2 updates tracked since 2019).

About Central Ohio Geriatrics Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTRAL OHIO GERIATRICS LLC (NPI 1073753794) is a healthcare organization registered as a geriatric medicine in Granville, Ohio and active in the NPI registry since February 2009. The organization maintains a secondary practice location in Canton and lists John Mark Weigand, President, as its authorized official.

NPPES Registry Identity

NPI1073753794
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameCENTRAL OHIO GERIATRICS LLC
Location Address590 NEWARK GRANVILLE RDGranville, OH 43023-1436
Mailing Address236 3rd St SwCanton, OH 44702-1607 · (330) 754-4431 · Fax (330) 244-8839
Phone(888) 531-7444
Fax(888) 531-7444
Organization SubpartNo
Authorized OfficialJohn Mark WeigandPresident · (888) 531-7444
Enumeration DateFebruary 21, 2009
Last NPPES UpdateJune 8, 20252 updates tracked since enumeration
NPPES CertifiedJune 8, 2025
✔ NPI 1073753794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in OH · 35-060271
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
590 NEWARK GRANVILLE RD, Granville, OH 43023
Open in Google Maps ↗

Secondary Practice Location 1

Location 1236 3rd St SWCanton, OH 44702 · Phone (330) 754-4431

Other Identifiers 1

Medicaid2968267OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Central Ohio Geriatrics Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Central Ohio Geriatrics LLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.

Clinicians, nearest first (9)

Jonathan Hollister, MD
Geriatric Medicine
NPI 1487621652
590 NEWARK GRANVILLE RD
Granville, OH 43023
(888) 531-7444
✔ PECOS✔ Accepts MedicareSame address
Peter Hucek, M.D.
Family Practice
NPI 1548274871
590 NEWARK GRANVILLE RD
Granville, OH 43023
(888) 531-7444
✔ PECOS✔ Accepts MedicareSame address
Katherine Montanaro, CNP
Nurse Practitioner
NPI 1083763627
590 NEWARK GRANVILLE RD
Granville, OH 43023
(888) 531-7444
✔ PECOS✔ Accepts MedicareSame address
John Weigand, MD
Family Practice
NPI 1780624965
590 NEWARK GRANVILLE RD
Granville, OH 43023
(888) 531-7444
✔ PECOS✔ Accepts MedicareSame address
Caryn Gorby, CNP
Nurse Practitioner
NPI 1144626433
590 NEWARK GRANVILLE RD
Granville, OH 43023
(888) 531-7444
✔ PECOS✔ Accepts MedicareSame address
Kristy Reel, APRN-CNP
Nurse Practitioner
NPI 1487057675
8351 N HIGH ST STE 155
Columbus, OH 43235
(614) 664-3595
✔ PECOS✔ Accepts Medicare27 mi
Madeline Hudak
Internal Medicine
NPI 1770103665
800 MCCONNELL DR
Columbus, OH 43214
(614) 566-5019
✔ PECOS✔ Accepts Medicare28 mi
Stephanie Dolan, APRN-CNP
Nurse Practitioner
NPI 1154655314
2050 KENNY RD
Columbus, OH 43221
(614) 366-4272
✔ PECOS✔ Accepts Medicare28 mi
Sumit Sharma, MD
Internal Medicine
NPI 1306047154
3617 HERITAGE CLUB DR
Hilliard, OH 43026
(614) 685-2805
✔ PECOS✔ Accepts Medicare35 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2155330

Central Ohio Geriatrics Kg · Granville, OH
Expired · Sep 26, 2026
CLIA Number36D2155330
Laboratory TypePhysician Office
Certificate Effective DateSeptember 27, 2024
Certificate Expiration DateSeptember 26, 2026
Laboratory DirectorJohn M. Weigand
Laboratory Phone(740) 920-4336
Laboratory LocationCentral Ohio Geriatrics Kg2158 Columbus Road, Granville, OH 43023
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Central Ohio Geriatrics LLC's NPI number?

The NPI number for Central Ohio Geriatrics LLC is 1073753794. It was assigned to this organization in the NPPES registry on February 21, 2009.

Where is Central Ohio Geriatrics LLC located?

Central Ohio Geriatrics LLC is located at 590 Newark Granville Rd, Granville, OH 43023. The listed phone number is (888) 531-7444.

What is Central Ohio Geriatrics LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Central Ohio Geriatrics LLC enrolled in Medicare?

Yes. Central Ohio Geriatrics LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Central Ohio Geriatrics LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 4 Medicare specialties reassign their Medicare billing to Central Ohio Geriatrics LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (4), Family Practice (2) and Internal Medicine (2). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Central Ohio Geriatrics LLC accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Central Ohio Geriatrics LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Central Ohio Geriatrics LLC was last updated on June 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.