Individual provider Active NPI

Chelsea Alysse Mooreland, MD

  • Family Medicine Physician
  • Columbus, OH
National Provider Identifier
1316300452
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.135851 Issued in OH
Practice address
3433 Agler Rd Ste 2800
Columbus, OH 43219-3389
Phone
(614) 645-1600
Fax
(614) 645-5517
NPI assigned
Apr 5, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X OH
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 35.135851 OH Primary

Addresses

Primary practice location

3433 Agler Rd Ste 2800
Columbus, OH 43219-3389

Mailing address

2780 Airport Dr
Ste 100
Columbus, OH 43219-2289
Phone (614) 859-1906

Other practice location 1

4850 E Main St
Columbus, OH 43213-3194
Phone (614) 566-0950

Other names 1

  • Chelsea Alysse Earby Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191126002180 OH Practitioner - Family Practice 2163702077 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.135851OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Urgent Care LLC Multi-Specialty CurrentSince Jan 1, 2020 Accepting new patients
Ohiohealth Corporation Multi-Specialty CurrentSince Mar 1, 2021 Accepting new patients
Ohiohealth Corporation Multi-Specialty CurrentSince Mar 1, 2021 Accepting new patients
Ohiohealth Corporation Multi-Specialty Current Accepting new patients
Columbus Neighborhood Health Center Inc Multi-Specialty Current Accepting new patients
Ohiohealth Corporation Past Accepting new patients

Locations

600 N Pickaway St
Ste 300
Circleville, OH 43113
Phone (740) 207-4202

2780 Airport Dr
Ste 100
Columbus, OH 43219
Phone (614) 859-1906

3433 Agler Rd
Ste 2800
Columbus, OH 43219
Phone (614) 645-1600

2300 W Broad St
Columbus, OH 43204
Phone (614) 645-2300

Dept L3652
Columbus, OH 43260

1180 E Main St
Columbus, OH 43205
Phone (614) 253-0861

1905 Parsons Ave
Columbus, OH 43207
Phone (614) 586-4159

290 E Town St
Columbus, OH 43215
Phone (614) 788-5400

L3318
Columbus, OH 43260

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

6905 Hospital Dr
Ste 130
Dublin, OH 43016
Phone (614) 923-0300

2030 Stringtown Rd
Grove City, OH 43123
Phone (614) 566-0987

4850 E Main St
Whitehall, OH 43213
Phone (614) 523-2266

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1316300452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 AIRPORT DR",
            "address_2": "STE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432192289",
            "telephone_number": "614-859-1906",
            "fax_number": "614-645-5517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3433 AGLER RD STE 2800",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432193389",
            "telephone_number": "614-645-1600",
            "fax_number": "614-645-5517"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4850 E Main St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432133194",
            "country_code": "US",
            "telephone_number": "614-566-0950",
            "fax_number": "614-566-0766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORELAND",
        "first_name": "CHELSEA",
        "middle_name": "ALYSSE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-05",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.135851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "EARBY",
            "middle_name": "ALYSSE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.