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CENTRAL OHIO UROLOGY GROUP, LLC
NPI 1073907309
Urology in Gahanna, OH

Active since March 25, 2015CLIA Certified · 16 labs
701 TECH CENTER DR, SUITE 100, GAHANNA, OH 43230(614) 396-2684(614) 396-2480 Get Directions Write a Review

NPPES record last updated: January 25, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Central Ohio Urology Group, Llc NPPES

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

CENTRAL OHIO UROLOGY GROUP, LLC (NPI 1073907309) is a healthcare organization registered as an urology in Gahanna, Ohio and active in the NPI registry since March 2015. The organization holds 16 active CLIA laboratory certificates and lists Nicole Giacomelli, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1073907309
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameCENTRAL OHIO UROLOGY GROUP, LLC
Location Address701 TECH CENTER DR, SUITE 100Gahanna, OH 43230-1987
Mailing Address701 Tech Center Dr, Suite 100Gahanna, OH 43230-1987 · (614) 396-2684 · Fax (614) 396-2480
Phone(614) 396-2684
Fax(614) 396-2480
Organization SubpartNo
Authorized OfficialNicole GiacomelliDirector Of Operations · (614) 396-2635
Enumeration DateMarch 25, 2015
Last NPPES UpdateJanuary 25, 2019
✔ NPI 1073907309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in OH · 1495470
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
701 TECH CENTER DR, Gahanna, OH 43230
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Other Identifiers 1

Medicaid2660820OH

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 16

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 for Provider-Performed Microscopy Procedures (PPMP) 36D1083202

Central Ohio Urology Group, LLC · Gahanna, OH
Active · expires Apr 28, 2028
CLIA Number36D1083202
Laboratory TypePhysician Office
Certificate Effective DateApril 29, 2026
Certificate Expiration DateApril 28, 2028
Laboratory DirectorEvan Cohn
Laboratory Phone(614) 396-2684
Laboratory LocationCentral Ohio Urology Group, LLC701 Tech Center, Gahanna, OH 43230
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Accreditation 36D1106724

Central Ohio Urology Group, LLC · Gahanna, OH
Active · expires Jul 22, 2028
CLIA Number36D1106724
Laboratory TypePhysician Office
Certificate Effective DateJuly 23, 2026
Certificate Expiration DateJuly 22, 2028
Laboratory DirectorDr. Katherine E. Watts
Laboratory Phone(614) 396-2467
Laboratory LocationCentral Ohio Urology Group, LLC701 Tech Center Dr, Suite 230, Gahanna, OH 43230
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 36D2300258

Central Ohio Urology Group · Gahanna, OH
Active · expires Mar 5, 2028
CLIA Number36D2300258
Laboratory TypeOutpt Radiology
Certificate Effective DateMarch 6, 2026
Certificate Expiration DateMarch 5, 2028
Laboratory DirectorAdam Weiser
Laboratory Phone(614) 396-2469
Laboratory LocationCentral Ohio Urology Group701 Tech Center Drive Suite 120, Gahanna, OH 43230
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 36D2060190

Central Ohio Urology Surgery Center · Gahanna, OH
Active · expires Jun 6, 2027
CLIA Number36D2060190
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJune 7, 2025
Certificate Expiration DateJune 6, 2027
Laboratory DirectorRichard B. Klump
Laboratory Phone(614) 396-2527
Laboratory LocationCentral Ohio Urology Surgery Center701 Tech Center Dr Ste 200, Gahanna, OH 43230
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 36D1064379

Central Ohio Urology Group, LLC · Grove City, OH
Active · expires Mar 10, 2028
CLIA Number36D1064379
Laboratory TypePhysician Office
Certificate Effective DateMarch 11, 2026
Certificate Expiration DateMarch 10, 2028
Laboratory DirectorFrederick L. Taylor
Laboratory Phone(614) 396-2684
Laboratory LocationCentral Ohio Urology Group, LLC6024 Hoover Road Suite F, Grove City, OH 43123
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 36D2074496

Central Ohio Urology Group, LLC · Hilliard, OH
Active · expires Mar 10, 2028
CLIA Number36D2074496
Laboratory TypePhysician Office
Certificate Effective DateMarch 11, 2026
Certificate Expiration DateMarch 10, 2028
Laboratory DirectorWilliam Gianakopoulos
Laboratory Phone(614) 396-2684
Laboratory LocationCentral Ohio Urology Group, LLC4674 Britton Parkway Suite 1300, Hilliard, OH 43026
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

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

NISHA PATEL KEELER CNP
Nurse Practitioner (Family)
701 TECH CENTER DR
GAHANNA, OH 43230
Franklin County (614) 396-2684
LACEY LEANN TAKHTAY APRN-CNP
Nurse Practitioner
701 TECH CENTER DR
GAHANNA, OH 43230
Franklin County (614) 396-2684
DEBORAH S COLE CNP
Nurse Practitioner (Adult Health)
701 TECH CENTER DR
GAHANNA, OH 43230
Franklin County (614) 396-2684
DR. EDWARD BRADLEY PEWITT M.D.
Urology
701 TECH CENTER DR
GAHANNA, OH 43230
Franklin County (614) 396-2684
MR. RICHARD KLUMP M.D.
Urology
701 TECH CENTER DR
GAHANNA, OH 43230
Franklin County (614) 396-2684
ALYSSA CHRISTINE DILLON FNP
Nurse Practitioner (Family)
701 TECH CENTER DR
GAHANNA, OH 43230
Franklin County (614) 396-2684
MRS. MICHELLE BENNETT PA
Physician Assistant
701 TECH CENTER DR
GAHANNA, OH 43230
Franklin County (614) 396-2684
DR. EVAN B. COHN M.D.
Urology
701 TECH CENTER DR
GAHANNA, OH 43230
Franklin County (614) 396-2684

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 Urology Group, LLC's NPI number?

The NPI number for Central Ohio Urology Group, LLC is 1073907309. It was assigned to this organization in the NPPES registry on March 25, 2015.

Where is Central Ohio Urology Group, LLC located?

Central Ohio Urology Group, LLC is located at 701 Tech Center Dr Suite 100, Gahanna, OH 43230. The listed phone number is (614) 396-2684.

What is Central Ohio Urology Group, LLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Does Central Ohio Urology Group, LLC hold CLIA laboratory certificates?

Yes. 16 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Central Ohio Urology Group, LLC was last updated on January 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.