MID OHIO UROLOGY, INC. (NPI# 1033155916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033155916 |
| Entity Type | Organization |
| Organization Name | MID OHIO UROLOGY, INC. |
| Practice Address |
5969 E Broad St Suite 330 Columbus OH 43213-1546 |
| Practice Telephone | 6148640480 |
| Mailing Telephone | 6148640480 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RICHARD KLUMP (PRESIDENT) |
| Authorized Official Telephone | 6148640480 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2167195 | 05 |
| Street Address |
5969 E BROAD ST SUITE 330 |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43213-1546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740275627 | Mukesh R Shah | Internal Medicine | 5969 E Broad St, Ste 202, Columbus, OH 43213-1546 | 2005-09-15 |
| 1801388319 | Melanie Kay Frost | Audiologist | 5969 E Broad St, Columbus, OH 43213-1546 | 2018-05-31 |
| 1417482076 | Ralston Care, LLC | Massage Therapist | 5969 E Broad St, Suite 304, Columbus, OH 43213-1546 | 2017-04-20 |
| 1023479664 | Lisa Vonrissen | Nurse Practitioner | 5969 E Broad St, Columbus, OH 43213-1546 | 2016-03-09 |
| 1174929533 | Ohio Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 5969 E Broad St, Ste 402, Columbus, OH 43213-1546 | 2014-11-13 |
| 1992110514 | Fathia Alfakeri | Internal Medicine | 5969 E Broad St, Columbus, OH 43213-1546 | 2014-06-23 |
| 1881022275 | Mount Carmel Healthproviders Two, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5969 E Broad St, Suite 409, Columbus, OH 43213-1546 | 2013-10-22 |
| 1124455670 | Integrative Cardiology | Internal Medicine | 5969 E Broad St, Suite 202, Columbus, OH 43213-1546 | 2013-09-30 |
| 1770915951 | Shahed Hasnat | Internal Medicine | 5969 E Broad St, Suite 403, Columbus, OH 43213-1546 | 2013-07-30 |
| 1497008148 | Phuc Kim Hoang Nguyen | Emergency Medicine | 5969 E Broad St, Columbus, OH 43213-1546 | 2012-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952917973 | Complete Care for Women | Obstetrics & Gynecology | 99 North Brice Rd, Suite 320, Columbus, OH 43213 | 2020-09-16 |
| 1255963708 | Icare Health & Wellness Medical Center, LLC | Counselor | 3242 E Main St, 2nd Floor, Columbus, OH 43213 | 2020-02-12 |
| 1588133011 | Robert Acheampong-imbeah | Case Manager/Care Coordinator | 3616 Eastwood Park, Whitehall, OH 43213 | 2018-11-14 |
| 1174017248 | Faatimah Sabir | Case Manager/Care Coordinator | 3616 East Main Street, Whitehall, OH 43213 | 2018-06-21 |
| 1639663123 | Reachcare Pharmacy Services LLC | Pharmacy | 4513 E Main St, Columbus, OH 43213 | 2018-06-18 |
| 1245729516 | Dominique Oswalt | Case Manager/Care Coordinator | 4111 Elbern Ave, Whitehall, OH 43213 | 2018-05-02 |
| 1326540865 | Jmkennedy LLC Magnum Np | Nursing Care | 6365 Plankton Dr, Columbus, OH 43213 | 2018-03-01 |
| 1477051647 | Inner Health Chiropractic North, LLC | Chiropractor | Inner Health Chiropractic, 3321 East Broad Street, Columbus, OH 43213 | 2018-01-23 |
| 1902319213 | Mary H Taylor | Massage Therapist | 6100 E. Main St., Suite 110, Columbus, OH 43213 | 2017-11-08 |
| 1407384548 | Lashaunta R Davidson | Licensed Practical Nurse | 4040 E. Broad Street, Whitehall, OH 43213 | 2017-06-02 |
| Find all providers in zip 43213 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932594249 | Elizabeth Chang Wendel | Urology | 1538 13th Ave Ste B250, Columbus, GA 31901-2565 | 2015-04-02 |
| 1073932091 | Eric Jacob Fichtenbaum | Urology | 500 E Main St Ste 220, Columbus, OH 43215-5369 | 2014-04-08 |
| 1992123509 | Raunak Patel | Urology | 500 Thomas Ln Ste G, Columbus, OH 43214-3902 | 2014-04-01 |
| 1942563069 | John Alex Brockman | Urology | 5141 W Broad St Ste 180, Columbus, OH 43228-1992 | 2012-06-22 |
| 1699092056 | Kenneth Delay | Urology | 1538 13th Ave Ste A, Columbus, GA 31901-2544 | 2010-04-26 |
| 1750596094 | Central Ohio Urology Group, Inc. | Urology | 3100 Plaza Properties Blvd., Suite 320, Columbus, OH 43219 | 2007-05-11 |
| 1376667212 | Robert Allen Berkman | Urology | 279 S Drexel Ave, Columbus, OH 43209-1742 | 2007-03-17 |
| 1609923796 | Rice and Lake Urology LLP | Urology | 2000 10th Ave Suite 150, Columbus, GA 31901 | 2007-01-04 |
| 1407924053 | Southern Indiana Urologic Clinic,llc | Urology | 2475 N Park Dr Ste 10, Columbus, IN 47203-2215 | 2006-12-01 |
| 1194806687 | Philip T. Schley | Urology | 2808 18th Ave, Columbus, GA 31901-1251 | 2006-10-18 |
| Find all providers in COLUMBUS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.