Individual provider Active NPI

Alicia Emily Woo-Clark, CNS-BC

  • Adult Health Clinical Nurse Specialist
  • Brunswick, OH
National Provider Identifier
1295015550
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
APRN.CNS.11235 Issued in OH
Practice address
1299 Industrial Pkwy N Ste 110
Brunswick, OH 44212-6366
Phone
(330) 225-6468
Fax
(330) 225-6534
NPI assigned
Aug 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse Specialist 364SA2200X APRN.CNS.11235 OH Primary

Addresses

Primary practice location

1299 Industrial Pkwy N Ste 110
Brunswick, OH 44212-6366

Mailing address

One Gi Credentialing Department
PO Box 381468
Germantown, TN 38183-1468

Other practice location 1

8877 Mentor Ave
Mentor, OH 44060-6211
Phone (440) 205-1225

Other practice location 2

3985 Medina Rd Ste 120
Medina, OH 44256-5968
Phone (330) 225-6468

Other practice location 3

4360 Fulton Dr NW Ste B
Canton, OH 44718-2878
Phone (330) 305-2020

Other practice location 4

500 E Royalton Rd Ste 100
Broadview Heights, OH 44147-2592
Phone (330) 225-6468

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
I20130129000396 OH Practitioner - Certified Clinical Nurse Specialist (CNS) 1456505403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dayton Gastroenterology, LLCGroup PAC ID 9537064407, 74 clinicians

Practice addresses (Care Compare)

1299 Industrial Pkwy N
Suite 110
Brunswick, OH 44212-6366
Phone (330) 225-6468

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dayton Gastroenterology LLC CurrentSince Dec 27, 2023 Accepting new patients

Locations

Dayton Gastro Govt Ar Hc
New York, NY 10087

500 E Royalton Rd
Ste 100
Broadview Hts, OH 44147
Phone (330) 225-6468

1299 Industrial Pkwy N
Brunswick, OH 44212
Phone (330) 225-6468

1299 Industrial Pkwy N
Ste 110
Brunswick, OH 44212
Phone (330) 225-6468

4360 Fulton Dr NW
Ste B
Canton, OH 44718
Phone (330) 305-2020

9000 N Main St
Ste 405
Englewood, OH 45415
Phone (937) 320-5050

3985 Medina Rd
Ste 120
Medina, OH 44256
Phone (330) 225-6468

8877 Mentor Ave
Mentor, OH 44060
Phone (440) 205-1225

Interoperability endpoints

  • FHIR API: https://5e3884cf-4770-450d-af77-2043acaa1ebe.gastro.prod.fhir.ema-api.com/fhir/r4/

Organizations & group practices 1

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": "1313625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1295015550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE GI CREDENTIALING DEPARTMENT",
            "address_2": "PO BOX 381468",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381831468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1299 INDUSTRIAL PKWY N STE 110",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442126366",
            "telephone_number": "330-225-6468",
            "fax_number": "330-225-6534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8877 Mentor Ave",
            "address_purpose": "LOCATION",
            "city": "Mentor",
            "state": "OH",
            "postal_code": "440606211",
            "country_code": "US",
            "telephone_number": "440-205-1225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3985 Medina Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Medina",
            "state": "OH",
            "postal_code": "442565968",
            "country_code": "US",
            "telephone_number": "330-225-6468",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4360 Fulton Dr NW Ste B",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447182878",
            "country_code": "US",
            "telephone_number": "330-305-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 E Royalton Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Broadview Heights",
            "state": "OH",
            "postal_code": "441472592",
            "country_code": "US",
            "telephone_number": "330-225-6468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOO-CLARK",
        "first_name": "ALICIA",
        "middle_name": "EMILY",
        "name_prefix": "Mrs.",
        "credential": "CNS-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-18",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "OH",
            "license": "APRN.CNS.11235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, OH

Sources for this page

Verify at the official NPI Registry.