Organization
IPS ASC, LLC
Active
Other names
Gemini Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD J KOWLOWITZ MD (AUTHORIZED OFFICIAL)
(317) 706-7246
Entity
Organization
Contact information
Practice address
1210 GEMINI PL STE 301, COLUMBUS, OH 43240-6112
(614) 987-7603
(614) 987-7614
Mailing address
1210 GEMINI PL STE 301, COLUMBUS, OH 43240-6112
(614) 987-7603
(614) 987-7614
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1097AS
OH
Other
Enumeration date
05/29/2014
Last updated
04/11/2025
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