| Mr Michael A Wodarcyk, MD | |
| 
					701 Tech Center Dr, Gahanna, OH 43230-1987  | |
| (614) 396-2684 | |
| (614) 396-2480 | 
| Full Name | Mr Michael A Wodarcyk | 
|---|---|
| Gender | Male | 
| Speciality | Urology | 
| Location | 701 Tech Center Dr, Gahanna, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1407827264 | NPI | - | NPPES | 
| 0803867 | Medicaid | OH | |
| 0335453 | Other | OH | RAILROAD MEDICARE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208800000X | Urology | 35059868 (Ohio) | Primary | 
| Entity Name | Central Ohio Urology Group, Llc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1396780466 PECOS PAC ID: 5395758882 Enrollment ID: O20060731000201  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr Michael A Wodarcyk, MD 701 Tech Center Dr Ste 250, Gahanna, OH 43230-1987 Ph: (614) 396-2684  | Mr Michael A Wodarcyk, MD 701 Tech Center Dr, Gahanna, OH 43230-1987 Ph: (614) 396-2684  | 
Mr. Andy J. Cho, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 701 Tech Center Dr Ste 100, Gahanna, OH 43230 Phone: 614-396-2684 Fax: 614-396-2480  | |
Dr. Edward Bradley Pewitt, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 701 Tech Center Dr, Gahanna, OH 43230 Phone: 614-396-2684 Fax: 614-396-2480  | |
Mr. Richard Klump, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 701 Tech Center Dr, Gahanna, OH 43230 Phone: 614-396-2684 Fax: 614-396-2480  | |
Dr. Evan B. Cohn, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 701 Tech Center Dr, Gahanna, OH 43230 Phone: 614-396-2684 Fax: 614-396-2480  | |
Mr. Paul N. Kaufman, M.D. Urology Medicare: Medicare Enrolled Practice Location: 701 Tech Center Dr, Gahanna, OH 43230 Phone: 614-396-2684 Fax: 614-396-2480  | |
Dr. Rashmi I. Patel, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 701 Tech Center Dr, Gahanna, OH 43230 Phone: 614-396-2684 Fax: 614-396-2480  |