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

Q: 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.

Q: 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.

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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 holds a CLIA Waiver certificate valid through September 26, 2026, 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

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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, Molina Healthcare.Insurance ›

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

Active · expires 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.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHERINE L. MONTANARO CNP

Nurse Practitioner