Individual provider Active NPI

Myungsun Lipthratt, FNP

  • Family Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1003395641
Registry record updated Aug 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.023045 Issued in OH
Practice address
5245 E Main St
Columbus, OH 43213-2503
Phone
(614) 367-1654
Fax
(614) 453-8222
NPI assigned
Aug 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.023045 OH Primary

Addresses

Primary practice location

5245 E Main St
Columbus, OH 43213-2503

Mailing address

5245 E Main St
Columbus, OH 43213-2503
Phone (614) 367-1654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230301002103 OH Practitioner - Nurse Practitioner 2466825054 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.023045OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Incare Health Solutions LLC CurrentSince Feb 1, 2023 Accepting new patients
Community Care Health Network LLC CurrentSince Jun 1, 2024 Accepting new patients
Incare Health Solutions, LLC Family CurrentSince Feb 1, 2023 Accepting new patients
CG Medical Associates Inc CurrentSince Oct 25, 2022 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

7300 Beechmont Ave
Cincinnati, OH 45230
Phone (513) 232-9100

4832 W Broad St
Columbus, OH 43228
Phone (614) 465-7457

1690 Woodlands Dr
Ste 200
Maumee, OH 43537
Phone (419) 491-0420

7450 State Route 161 E
Plain City, OH 43064
Phone (614) 504-5002

2562 W Market St
Tiffin, OH 44883
Phone (567) 938-8008

2845 Progress Way
Wilmington, OH 45177
Phone (937) 366-1082

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534118400000",
    "number": "1003395641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5245 E MAIN ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432132503",
            "telephone_number": "614-367-1654",
            "fax_number": "614-453-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5245 E MAIN ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432132503",
            "telephone_number": "614-367-1654",
            "fax_number": "614-453-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPTHRATT",
        "first_name": "MYUNGSUN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-13",
        "last_updated": "2018-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.023045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.