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CENTRAL OHIO UROLOGY GROUP, LLC
NPI 1619409109
Urology in Worthington, OH

Active since April 03, 2017CLIA 36D2121412 · Microscopy
350 W WILSON BRIDGE RD, SUITE 100, WORTHINGTON, OH 43085(614) 796-2900(614) 796-2901 Get Directions Write a Review

NPPES record last updated: January 25, 2019. Verified against the NPPES registry weekly; last sync: August 23, 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 1619409109) is a healthcare organization registered as an urology in Worthington, Ohio and active in the NPI registry since April 2017. The organization holds a CLIA Microscopy certificate valid through November 3, 2026 and lists Nicole Giacomelli, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1619409109
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameCENTRAL OHIO UROLOGY GROUP, LLC
Location Address350 W WILSON BRIDGE RD, SUITE 100Worthington, OH 43085-2217
Mailing Address350 W Wilson Bridge Rd, Suite 100Worthington, OH 43085-2217 · (614) 796-2900 · Fax (614) 796-2901
Phone(614) 796-2900
Fax(614) 796-2901
Organization SubpartNo
Authorized OfficialNicole GiacomelliDirector Of Operations · (614) 396-2635
Enumeration DateApril 3, 2017
Last NPPES UpdateJanuary 25, 2019
✔ NPI 1619409109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
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.
350 W WILSON BRIDGE RD, Worthington, OH 43085
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.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 for Provider-Performed Microscopy Procedures (PPMP) 36D2121412

Central Ohio Urology Group, LLC · Worthington, OH
Active · expires Nov 3, 2026
CLIA Number36D2121412
Laboratory TypePhysician Office
Certificate Effective DateNovember 4, 2024
Certificate Expiration DateNovember 3, 2026
Laboratory DirectorMichael T. Gambla
Laboratory Phone(614) 796-2900
Laboratory LocationCentral Ohio Urology Group, LLC350 W Wilson Bridge Rd Suite 100, Worthington, OH 43085
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.

Other Providers at the Same Location NPPES 7

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

DR. WILLIAM E. BLOCH M.D.
Urology
350 W WILSON BRIDGE RD
WORTHINGTON, OH 43085
Franklin County (614) 796-2900
MORGAN LYNN BITZEL PA
Physician Assistant
350 W WILSON BRIDGE RD
WORTHINGTON, OH 43085
Franklin County (614) 396-2684
DR. MICHAEL F. CUNNINGHAM M.D.
Urology
350 W WILSON BRIDGE RD
WORTHINGTON, OH 43085
Franklin County (614) 796-2900
LOGAN AUSTIN LEONARD PA-C
Physician Assistant
350 W WILSON BRIDGE RD
WORTHINGTON, OH 43085
Franklin County (614) 396-2684
JACK GORDON OGILVIE MD
Radiology (Vascular & Interventional Radiology)
350 W WILSON BRIDGE RD
WORTHINGTON, OH 43085
Franklin County (614) 396-2684
SARA Q PERKINS MD
Urology
350 W WILSON BRIDGE RD
WORTHINGTON, OH 43085
Franklin County (614) 396-2684
MANDY PRUITT PTA
Physical Therapist (Orthopedic)
350 W WILSON BRIDGE RD
WORTHINGTON, OH 43085
Franklin County (615) 505-8920

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 1619409109. It was assigned to this organization in the NPPES registry on April 3, 2017.

Where is Central Ohio Urology Group, LLC located?

Central Ohio Urology Group, LLC is located at 350 W Wilson Bridge Rd Suite 100, Worthington, OH 43085. The listed phone number is (614) 796-2900.

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 a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 36D2121412) is associated with this NPI, valid through November 3, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Central Ohio Urology Group, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 37 other insurers list Central Ohio Urology Group, 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 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.