Organization
IPS ASC, LLC
Active
Other names
GEMINI SURGERY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD J KOWLOWITZ MD (OWNER)
(317) 706-7246
Entity
Organization
Contact information
Practice address
1210 GEMINI PL, SUITE 301, COLUMBUS, OH 43240-6109
(614) 987-7174
(614) 987-7614
Mailing address
PO BOX 734439, CHICAGO, IL 60673-4439
(317) 706-3415
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0248249
—
OH
Enumeration date
04/18/2017
Last updated
11/18/2025
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