CENTRAL OHIO UROLOGY GROUP, LLC
NPI 1073907309
Urology in Gahanna, OH
- Organization
- Urology
- CLIA Number: 36D2300258
- CLIA Cert. Type: Other - OUTPT RADIOLOGY
- CLIA Exp. Date: 03-05-2028
About CENTRAL OHIO UROLOGY GROUP, LLC
This page provides the complete NPI Profile along with additional information for Central Ohio Urology Group, Llc, a provider established in Gahanna, Ohio operating as a Urology. The healthcare provider is registered in the NPI registry with number 1073907309 assigned on March 2015. The practitioner's primary taxonomy code is 208800000X with license number 1495470 (OH). The provider is registered as an organization and their NPI record was last updated 7 years ago. Central Ohio Urology Group, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mrs. Nicole Giacomelli (Director Of Operations)
- NPI
- 1073907309 Verify this NPI
- Provider Name
- CENTRAL OHIO UROLOGY GROUP, LLC
- Entity Type
- Organization
- Location Address
- 701 TECH CENTER DR SUITE 100 GAHANNA, OH 43230
- Location Phone
- (614) 396-2684
- Location Fax
- (614) 396-2480
- Mailing Address
- 701 TECH CENTER DR SUITE 100 GAHANNA, OH 43230
- Mailing Phone
- (614) 396-2684
- Mailing Fax
- (614) 396-2480
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-25-2015
- Last Update Date
- 01-25-2019
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Urology
- Taxonomy Code
- 208800000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 1495470
- License State
- OH
- Taxonomy Description
- 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.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2660820 | MEDICAID (05) | OH |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 36D2300258
- Facility Type
- Other - OUTPT RADIOLOGY
- Certificate Effective Date
- March 06, 2026
- Certificate Expiration Date
- March 05, 2028
- Laboratory Director
- ADAM WEISER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Central Ohio Urology Group, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
GAHANNA, OH 43230
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073907309, enumerated as an "organization" on March 25, 2015.
The provider is located at 701 TECH CENTER DR SUITE 100 GAHANNA, OH 43230 and the phone number is (614) 396-2684.
Urology with taxonomy code 208800000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
