OrganizationActive
Nicholson Urology LLC
NPI 1669297941 · Non-Pharmacy Dispensing Site · Lima, OH
Provider details
- NPI number
- 1669297941
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- West Central Ohio Urological Centers of Excellence, LLC
- Organization subpart
- Yes
- Authorized official
- Kelly Bowers, Coo/Cco(567) 529-9000
Specialties & taxonomies
Suppliers
Practice location
2751 Fort Amanda Rd
Lima, OH 45805-4805
Phone: (567) 529-9000
Fax: (567) 529-9001
Approximate (ZIP-level) locationGet directions
Mailing address
2751 Fort Amanda Rd
Lima, OH 45805-4805
Other names (DBA / former)
- Doing business as
- Crossroads Urology
Registry dates
- Enumerated
- 2024-11-20
- Last updated
- 2024-11-20
- Certified
- 2024-11-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.