Organization
CENTRAL OHIO ENDOSCOPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE L HENNESSY MD (MANAGER)
(614) 754-5500
Entity
Organization
Contact information
Practice address
430 ALTAIR PKWY STE 120, WESTERVILLE, OH 43082-7647
(614) 754-5500
(614) 754-5501
Mailing address
3400 OLENTANGY RIVER RD, COLUMBUS, OH 43202-1523
(614) 754-5500
(614) 457-9519
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
261QE0800X
Endoscopy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0472352
—
OH
Enumeration date
03/03/2020
Last updated
10/06/2025
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