Active NPI 1952367641 Individual Practitioner Male Practitioner

Dr. Michael T. Gambla , MD

Urology • Worthington, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Gambla, MD is a certified Urology practicing in Worthington, OH. With approximately 30 years of clinical experience since graduating from Rush Medical College Of Rush University in 1996, Dr. Gambla delivers high-quality medical care to the local community at 350 W WILSON BRIDGE RD STE 100.

Dr. Gambla is affiliated with Riverside Health System and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, onabotulinumtoxina, 1 unit, automated urinalysis test, ultrasound measurement of bladder capacity after voiding. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

350 W Wilson Bridge Rd Ste 100

Worthington, OH 430852590

Telephone 6147962900

Fax 6147962901

Associated Practice Facility / Clinic

🏢 Central Ohio Urology Group, Llc Facility NPI 1619409109

Medicare Profile & Education

Medical School

Rush Medical College Of Rush University

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Worthington, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +8.6 yrs vs City Avg

City Avg: 21.4 Yrs

State Avg: 25.7 Yrs

Regional Practice Density

9 Specialists

Practicing in Worthington, OH (564 Statewide)

Telehealth Adoption Rate

44.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

71.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gambla (30 Years) 30 Yrs

Worthington Specialty Average (21.4 Years) 21.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	1,600	11	$22.00	$6.26
81003 Automated urinalysis test	499	312	$16.00	$2.20
51798 Ultrasound measurement of bladder capacity after voiding	455	313	$297.00	$10.30
99213 Established patient office or other outpatient visit, typically 15 minutes	238	206	$150.00	$86.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	160	128	$205.00	$122.49
52000 Diagnostic exam of bladder and urethra using an endoscope	89	78	$708.00	$221.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	77	77	$206.00	$107.06
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	29	$260.00	$126.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$321.00	$161.15
51700 Simple bladder irrigation and/or instillation	19	17	$191.00	$71.48
52332 Insertion of stent in urinary duct (ureter) using an endoscope	14	12	$2015.00	$112.95
52356 Crushing of stone of ureter with insertion of stent using an endoscope	13	11	$1205.00	$389.71
52287 Exam with injections of chemical for destruction of bladder using an endoscope	12	11	$917.00	$361.85
52281 Dilation of bladder canal (urethra) using an endoscope	12	12	$816.00	$304.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	2,200	13	$20.00	$6.24
81003 Automated urinalysis test	675	404	$16.00	$2.19
51798 Ultrasound measurement of bladder capacity after voiding	539	366	$283.00	$10.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	320	233	$198.00	$124.87
99213 Established patient office or other outpatient visit, typically 15 minutes	231	197	$135.00	$88.16
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	188	22	$686.42	$169.76
52000 Diagnostic exam of bladder and urethra using an endoscope	135	123	$675.00	$228.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	92	92	$202.00	$110.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	75	75	$306.00	$163.66
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	32	22	$175.00	$32.11
51705 Removal of skin suture with change of bladder tube	28	12	$133.00	$93.89
52649 Complete laser fragmentation of prostate including control of bleeding using an endoscope	25	25	$2099.00	$819.54
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	23	$257.00	$129.78
51700 Simple bladder irrigation and/or instillation	22	20	$182.00	$73.43
52332 Insertion of stent in urinary duct (ureter) using an endoscope	21	17	$1777.38	$127.38
52356 Crushing of stone of ureter with insertion of stent using an endoscope	16	16	$1219.75	$392.32
52287 Exam with injections of chemical for destruction of bladder using an endoscope	16	13	$874.00	$376.18
51702 Simple insertion of temporary bladder tube	16	11	$148.00	$59.24
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	15	15	$805.00	$308.63
51797 Insertion of device into abdomen with pressure and urine flow rate study	12	12	$283.00	$39.64
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	12	12	$292.00	$18.44
51741 Electronic assessment of bladder emptying	12	12	$173.00	$4.25
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	11	11	$630.00	$30.38
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	11	11	$325.00	$125.08
55700 Biopsy of prostate gland	11	11	$522.00	$234.54
51040 Incision of bladder with drainage	11	11	$729.00	$227.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	2,200	15	$20.00	$6.15
81003 Automated urinalysis test	609	360	$16.00	$2.22
51798 Ultrasound measurement of bladder capacity after voiding	573	358	$283.00	$9.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	220	166	$198.00	$125.56
99213 Established patient office or other outpatient visit, typically 15 minutes	196	158	$135.00	$89.26
52000 Diagnostic exam of bladder and urethra using an endoscope	137	125	$675.00	$238.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	103	103	$306.00	$165.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$202.00	$110.84
51700 Simple bladder irrigation and/or instillation	63	56	$182.00	$73.50
52649 Complete laser fragmentation of prostate including control of bleeding using an endoscope	45	44	$2099.00	$827.60
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	30	19	$4056.65	$178.49
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	28	20	$175.00	$31.84
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	24	24	$325.00	$125.96
51741 Electronic assessment of bladder emptying	24	24	$173.00	$4.31
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	23	23	$292.00	$18.79
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	22	22	$630.00	$31.08
51797 Insertion of device into abdomen with pressure and urine flow rate study	22	22	$283.00	$39.96
52332 Insertion of stent in urinary duct (ureter) using an endoscope	21	19	$1777.38	$114.63
55700 Biopsy of prostate gland	20	20	$522.00	$240.02
52287 Exam with injections of chemical for destruction of bladder using an endoscope	19	15	$874.00	$388.71
50590 Shock wave crushing of kidney stones	17	12	$2679.00	$563.80
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	16	16	$2504.00	$726.63
57288 Creation of sling around bladder canal (urethra) to control leakage	16	16	$2415.00	$564.75
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	13	12	$805.00	$316.27
52356 Crushing of stone of ureter with insertion of stent using an endoscope	12	11	$1243.67	$431.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	2,210	14	$20.00	$6.06
81003 Automated urinalysis test	442	258	$16.00	$2.24
51798 Ultrasound measurement of bladder capacity after voiding	411	278	$283.00	$9.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	256	186	$198.00	$127.17
99213 Established patient office or other outpatient visit, typically 15 minutes	187	129	$135.00	$89.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	107	107	$306.00	$165.73
52000 Diagnostic exam of bladder and urethra using an endoscope	77	74	$675.00	$228.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$202.00	$111.25
51700 Simple bladder irrigation and/or instillation	57	42	$182.00	$76.02
52649 Complete laser fragmentation of prostate including control of bleeding using an endoscope	27	27	$2099.00	$823.42
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	24	13	$4056.65	$161.32
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	22	14	$175.00	$31.00
99221 Initial hospital inpatient care per day, typically 30 minutes	17	16	$225.00	$100.07
57288 Creation of sling around bladder canal (urethra) to control leakage	17	17	$2415.00	$571.20
52287 Exam with injections of chemical for destruction of bladder using an endoscope	16	14	$874.00	$376.59
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$257.00	$134.10
55700 Biopsy of prostate gland	14	13	$468.29	$235.49
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	14	13	$675.00	$32.87
52332 Insertion of stent in urinary duct (ureter) using an endoscope	11	11	$1900.18	$122.87
51741 Electronic assessment of bladder emptying	11	11	$173.00	$5.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	170	131	$226.16	$105.85
99213 Established patient office or other outpatient visit, typically 15 minutes	115	104	$152.81	$71.68
36415 Insertion of needle into vein for collection of blood sample	75	61	$35.00	$2.97
51798 Ultrasound measurement of bladder capacity after voiding	74	67	$210.62	$9.54
81002 Urinalysis, manual test	61	51	$7.00	$3.44
84153 Psa (prostate specific antigen) measurement, total	44	36	$76.00	$18.26
52000 Diagnostic exam of bladder and urethra using an endoscope	31	30	$500.00	$78.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$295.60	$164.10
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	28	28	$304.50	$141.72
52287 Exam with injections of chemical for destruction of bladder using an endoscope	26	24	$900.00	$156.43
84403 Testosterone (hormone) level, total	20	13	$106.00	$24.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$205.89	$106.70
52649 Complete laser fragmentation of prostate including control of bleeding using an endoscope	18	18	$4677.67	$837.33
81003 Automated urinalysis test	16	16	$16.00	$2.25
G0103 Prostate cancer screening; prostate specific antigen test (psa)	15	15	$76.00	$19.08
52000 Diagnostic exam of bladder and urethra using an endoscope	12	12	$616.67	$204.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	1,100	11	$2.00	$0.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	450	276	$228.00	$105.03
81002 Urinalysis, manual test	322	215	$7.00	$3.40
99213 Established patient office or other outpatient visit, typically 15 minutes	279	190	$155.00	$71.81
51798 Ultrasound measurement of bladder capacity after voiding	243	172	$180.00	$11.85
36415 Insertion of needle into vein for collection of blood sample	143	100	$35.00	$2.92
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	102	12	$645.00	$224.78
52000 Diagnostic exam of bladder and urethra using an endoscope	81	72	$500.00	$80.55
84153 Psa (prostate specific antigen) measurement, total	80	59	$76.00	$19.82
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	72	64	$307.00	$141.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	71	71	$354.86	$156.95
51700 Simple bladder irrigation and/or instillation	60	48	$177.00	$71.72
51705 Removal of skin suture with change of bladder tube	55	31	$233.00	$90.83
52287 Exam with injections of chemical for destruction of bladder using an endoscope	49	42	$900.00	$150.66
52649 Complete laser fragmentation of prostate including control of bleeding using an endoscope	34	34	$5000.00	$832.51
G0103 Prostate cancer screening; prostate specific antigen test (psa)	25	25	$76.00	$20.03
84403 Testosterone (hormone) level, total	24	13	$106.00	$27.08
51720 Instillation of anti-cancer drug into bladder	23	12	$234.00	$81.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$231.00	$105.00
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	17	12	$80.00	$29.21
74176 Ct scan of abdomen and pelvis without contrast	17	16	$634.00	$104.33
51040 Incision of bladder with drainage	16	16	$960.00	$217.40
51797 Insertion of device into abdomen with pressure and urine flow rate study	16	16	$520.00	$132.55
64581 Incision to insert sacral nerve neurostimulator electrodes	15	14	$2000.00	$657.97
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$217.00	$100.37
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	14	14	$602.00	$32.98
64590 Insertion or replacement of peripheral, sacral, or gastric neurostimulator generator or receiver	14	14	$2000.00	$114.94
74420 Imaging of urinary tract	13	12	$55.00	$23.79
95972 Electronic analysis of implanted neurostimulator generator with complex spinal cord or peripheral nerve stimulator programming	12	12	$236.00	$41.77
88112 Cell examination of specimen, selective cellular enhancement technique	12	12	$195.00	$35.87
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$440.00	$201.71
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	11	11	$700.00	$320.99
51702 Simple insertion of temporary bladder tube	11	11	$181.00	$56.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	1,700	16	$2.00	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	553	321	$228.00	$102.81
81002 Urinalysis, manual test	480	267	$7.00	$3.40
99213 Established patient office or other outpatient visit, typically 15 minutes	411	262	$155.00	$69.88
51798 Ultrasound measurement of bladder capacity after voiding	292	190	$180.00	$14.66
36415 Insertion of needle into vein for collection of blood sample	126	93	$35.00	$2.94
52000 Diagnostic exam of bladder and urethra using an endoscope	61	59	$500.00	$79.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$353.73	$159.19
52287 Exam with injections of chemical for destruction of bladder using an endoscope	46	39	$900.00	$153.29
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	46	42	$307.00	$139.88
84153 Psa (prostate specific antigen) measurement, total	45	37	$76.00	$22.26
51705 Removal of skin suture with change of bladder tube	43	18	$233.00	$88.09
51700 Simple bladder irrigation and/or instillation	39	31	$177.00	$67.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$233.03	$103.93
51797 Insertion of device into abdomen with pressure and urine flow rate study	21	21	$520.00	$100.22
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	17	$294.00	$134.07
52649 Complete laser fragmentation of prostate including control of bleeding using an endoscope	17	17	$5000.00	$814.62
64590 Insertion or replacement of peripheral, sacral, or gastric neurostimulator generator or receiver	17	17	$2000.00	$117.08
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	17	17	$602.00	$32.31
G0103 Prostate cancer screening; prostate specific antigen test (psa)	15	15	$76.00	$22.26
84403 Testosterone (hormone) level, total	15	11	$106.00	$31.23
74178 Ct scan of abdomen and pelvis before and after contrast	14	14	$1253.00	$211.82
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	14	14	$700.00	$287.41
64561 Insertion of sacral nerve neurostimulator electrode array	13	13	$2884.62	$453.72
51741 Electronic assessment of bladder emptying	13	13	$200.00	$6.64
51702 Simple insertion of temporary bladder tube	12	12	$181.00	$57.73
64581 Incision to insert sacral nerve neurostimulator electrodes	12	12	$2000.00	$663.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$93.00	$39.17
95971 Electronic analysis and programming of implanted simple spinal cord or peripheral neurostimulator generator system during or after surgery, first hour	12	12	$180.00	$40.52
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$217.00	$99.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	436	308	$155.00	$69.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	413	273	$228.00	$102.39
81002 Urinalysis, manual test	382	265	$7.00	$3.17
51798 Ultrasound measurement of bladder capacity after voiding	220	164	$180.00	$17.90
52000 Diagnostic exam of bladder and urethra using an endoscope	91	79	$500.00	$96.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	75	75	$354.67	$156.40
36415 Insertion of needle into vein for collection of blood sample	64	54	$35.00	$2.94
52287 Exam with injections of chemical for destruction of bladder using an endoscope	48	44	$900.00	$158.58
51705 Removal of skin suture with change of bladder tube	48	32	$233.00	$86.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$231.93	$102.14
51700 Simple bladder irrigation and/or instillation	42	38	$177.00	$69.05
84153 Psa (prostate specific antigen) measurement, total	38	35	$76.00	$24.73
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	35	32	$307.00	$138.86
51702 Simple insertion of temporary bladder tube	24	23	$181.00	$59.69
51797 Insertion of device into abdomen with pressure and urine flow rate study	19	19	$520.00	$65.49
57288 Creation of sling around bladder canal (urethra) to control leakage	18	18	$4000.00	$526.06
52649 Complete laser fragmentation of prostate including control of bleeding using an endoscope	16	16	$5000.00	$817.36
53852 Destruction of prostate tissue through bladder canal (urethra)	16	16	$5907.50	$1798.04
51741 Electronic assessment of bladder emptying	16	16	$200.00	$4.67
99221 Initial hospital inpatient care per day, typically 30 minutes	14	13	$217.00	$99.15
88112 Cell examination of specimen, selective cellular enhancement technique	14	13	$195.00	$36.05
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	14	11	$54.00	$23.86
64590 Insertion or replacement of peripheral, sacral, or gastric neurostimulator generator or receiver	12	12	$2000.00	$105.39

Medical Specialties & State Licenses

CMS Verified: 2020-02-13

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License OH 35073770

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2242755 (OH)

Hospital & Practice Group Affiliations

Riverside Health System

375 N Wall St, Kankakee, IL 609013494

Phone: 8159399394

Secondary Practice Locations

701 Tech Center Dr

Gahanna, OH 432301987

Phone: 6143962684

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners

Dr. William Bloch , MD

Urology

NPI 1023013505

Doctor of Medicine (M.D.)

Dr. Ronney Abaza , MD

Urology

NPI 1134173339

Doctor of Medicine (M.D.)

Dr. Jonathan Corbett , MD

Urology

NPI 1174919948

Doctor of Medicine (M.D.)

Dr. Andrew Ng , MD

Urology

NPI 1205299732

Doctor of Medicine (M.D.)

Daniel Menefee , NP-C

Nurse Practitioner

NPI 1205365913

Nurse Practitioner (Certified)

Dr. Michael Cunningham , MD

Urology

NPI 1366515405

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location February 13, 2020

Registered at 350 W WILSON BRIDGE RD STE 100, WORTHINGTON, OH 430852590 (Tel: 6147962900)

📍

Updated Business Mailing Address February 13, 2020

Registered at 701 TECH CENTER DR STE 250, GAHANNA, OH 432301987 (Tel: 6149444800)

✅

NPI Profile Active April 23, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location April 23, 2008

Registered at 3555 OLENTANGY RIVER RD, SUITE 4020, COLUMBUS, OH 432143912 (Tel: 6142682323)

📍

Updated Business Mailing Address April 23, 2008

Registered at 3555 OLENTANGY RIVER RD, SUITE 4020, COLUMBUS, OH 432143912 (Tel: 6142682323)

👤

Provider Name / Credentials Updated April 23, 2008

Recorded as MICHAEL GAMBLA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 23, 2008

Urology (License #35073770 in OH)

🟢

Initial NPI Registration & Enumeration April 22, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1952367641

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 22, 2006

Last Update: February 13, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

701 Tech Center Dr Ste 250

Gahanna, OH 432301987

Phone: 6149444800

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.