Individual provider Active NPI

Alicia Philip, NP-C

  • Family Nurse Practitioner
  • Gahanna, OH
National Provider Identifier
1174180632
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
022913 Issued in OH
Practice address
701 Tech Center Dr Ste 100
Gahanna, OH 43230-1987
Phone
(614) 396-2684
Fax
(614) 396-2480
NPI assigned
May 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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 022913 OH Primary

Addresses

Primary practice location

701 Tech Center Dr Ste 100
Gahanna, OH 43230-1987

Mailing address

701 Tech Center Dr Ste 250
Gahanna, OH 43230-1987
Phone (614) 944-4800

Other practice location 1

8200 Hazelton Etna Rd SW Ste 200
Etna, OH 43062-9630
Phone (614) 396-2684

Other practice location 2

5775 N Meadows Dr Ste C
Grove City, OH 43123-7300
Phone (614) 396-2684

Other practice location 3

350 W Wilson Bridge Rd Ste 100
Worthington, OH 43085-2590
Phone (614) 796-2900

Other practice location 4

1030 Refugee Rd Ste 299
Pickerington, OH 43147-9755
Phone (614) 396-2684

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
I20190718003581 OH Practitioner - Nurse Practitioner 5395071989 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

618 Pleasantville Rd
Suite 203
Lancaster, OH 43130-3346
Phone (740) 689-4945

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
022913OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hocking Valley Medical Group, Inc. CurrentSince Oct 19, 2021 Accepting new patients
Fairfield Healthcare Professionals, Inc. CurrentSince May 1, 2022 Accepting new patients
Hocking Valley Medical Group Transportation CurrentSince Oct 19, 2021 Accepting new patients
Fairfield Healthcare Professionals Inc CurrentSince May 1, 2022 Accepting new patients
Central Ohio Urology Group, LLC CurrentSince Jul 22, 2019 Accepting new patients
Central Ohio Urology Group, LLC CurrentSince Jul 22, 2019 Accepting new patients

Locations

8200 Hazelton Etna Rd SW
Ste 200
Etna, OH 43062

8200 Hazelton Etna Rd SW
Etna, OH 43062
Phone (614) 221-5189

701 Tech Center Dr
Ste 100
Gahanna, OH 43230
Phone (440) 724-4498

701 Tech Center Dr
Gahanna, OH 43230
Phone (614) 944-4806

701 Tech Center Dr
Ste 250
Gahanna, OH 43230

5775 N Meadows Dr
Ste C
Grove City, OH 43123
Phone (614) 221-9262

401 N Ewing St
Lancaster, OH 43130
Phone (740) 687-8000

618 Pleasantville Rd
Ste 203
Lancaster, OH 43130
Phone (740) 687-8000

131 N Ewing St
Ste C
Lancaster, OH 43130
Phone (740) 689-6600

601 State Route 664 N
Logan, OH 43138
Phone (740) 380-8000

819 State Route 664 N
Logan, OH 43138
Phone (740) 380-8140

1320 W Main St
Newark, OH 43055
Phone (740) 348-4151

1030 Refugee Rd
Ste 299
Pickerington, OH 43147
Phone (614) 523-1111

350 W Wilson Bridge Rd
Ste 100
Worthington, OH 43085
Phone (614) 268-2323

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: aphilip1004634@direct.osumc.edu

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1174180632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 TECH CENTER DR STE 250",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432301987",
            "telephone_number": "614-944-4800",
            "fax_number": "614-944-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 TECH CENTER DR STE 100",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432301987",
            "telephone_number": "614-396-2684",
            "fax_number": "614-396-2480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8200 Hazelton Etna Rd SW Ste 200",
            "address_purpose": "LOCATION",
            "city": "Etna",
            "state": "OH",
            "postal_code": "430629630",
            "country_code": "US",
            "telephone_number": "614-396-2684",
            "fax_number": "614-396-2480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5775 N Meadows Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Grove City",
            "state": "OH",
            "postal_code": "431237300",
            "country_code": "US",
            "telephone_number": "614-396-2684",
            "fax_number": "614-396-2480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 W Wilson Bridge Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Worthington",
            "state": "OH",
            "postal_code": "430852590",
            "country_code": "US",
            "telephone_number": "614-796-2900",
            "fax_number": "614-796-2901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1030 Refugee Rd Ste 299",
            "address_purpose": "LOCATION",
            "city": "Pickerington",
            "state": "OH",
            "postal_code": "431479755",
            "country_code": "US",
            "telephone_number": "614-396-2684",
            "fax_number": "614-396-2480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILIP",
        "first_name": "ALICIA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-21",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "022913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gahanna, OH

Sources for this page

Verify at the official NPI Registry.