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General NPI Number Information
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NPI Number | 1902431646
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Entity Type | Organization
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Legal Business Name | CENTRAL OHIO ENDOSCOPY CENTER, LLC
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Dates
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Enumeration Date | 03/03/2020
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 430 ALTAIR PKWY STE 120
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City | WESTERVILLE
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State | OH
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Zip | 43082-7647
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Country | US
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Telephone | 614-754-5500
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Fax | 614-754-5501
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Provider Business Mailing Address
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Address Line | 3400 OLENTANGY RIVER RD
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City | COLUMBUS
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State | OH
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Zip | 43202-1523
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Country | US
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Telephone | 614-754-5500
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Fax | 614-457-9519
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Authorized Official
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Title or Position | MANAGER
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Name | BRUCE L HENNESSY
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Credential | MD
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Telephone | 614-754-5500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QE0800X
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Taxonomy Name | Endoscopy Clinic/Center
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License Number |
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License Number State |
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