Active NPI
Angelice L. Alexander-Martin, MD
- Addiction Medicine (Preventive Medicine) Physician
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Preventive Medicine) Physician
- License
- 35-080261
- Practice address
- 2975 Donnylane Blvd
Columbus, OH 43235-3228 - Phone
- (614) 442-2600
- Fax
- (614) 442-1600
- NPI assigned
- Sep 1, 2006
- Last updated
- Jan 7, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35-080261 | OH | |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | 35080261 | OH | |
| Obesity Medicine (Family Medicine) Physician | 207QB0002X | 35080261 | OH | |
| Addiction Medicine (Preventive Medicine) Physician | 2083A0300X | 35-080261 | OH | Primary |
Addresses
Primary practice location
2975 Donnylane Blvd
Columbus, OH 43235-3228
Mailing address
2975 Donnylane Blvd
Columbus, OH 43235-3228
Phone (614) 442-2600
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 032021509-00 | Other | OH | BWC |
| 7355546 | Other | OH | AETNA |
| 106506 | Other | OH | NATIONWIDE HEALTH PLANS |
| 000000295047 | Other | OH | ANTHEM BLUE CROSS BLUE SH |
| 01-11291 | Other | OH | UNITED HEALTHCARE |
| 2364801 | Medicaid | OH | |
| 350809868001 | Other | OH | MEDICAL MUTUAL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Addiction Medicine
- Education
- University of Cincinnati College of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2975 Donnylane Blvd
Columbus, OH 43235-3228
Phone (614) 442-2600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-080261 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pro Health Services LLC | Current | Accepting new patients | |
| Oral & Facial Surgery for Adults & Children LLC | Past | Accepting new patients |
Locations
1161 Bethel Rd
Ste 303
Columbus, OH 43220
Phone (614) 442-2600
2975 Donnylane Blvd
Columbus, OH 43235
Phone (614) 336-8380
Interoperability endpoints
- dralexander@psl-oh.direct.office.nextgen.com
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Medical Specialty Clinic/Center
- Columbus, OH
- NPI 1205281581
-
- Oral and Maxillofacial Surgery (Dentist)
- Columbus, OH
- NPI 1033389382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641513600000",
"number": "1427150424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2975 DONNYLANE BLVD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432353228",
"telephone_number": "614-442-2600",
"fax_number": "614-442-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2975 DONNYLANE BLVD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432353228",
"telephone_number": "614-442-2600",
"fax_number": "614-442-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDER-MARTIN",
"first_name": "ANGELICE",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-01",
"last_updated": "2022-01-07",
"certification_date": "2022-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35-080261",
"primary": false
},
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "OH",
"license": "35080261",
"primary": false
},
{
"code": "207QB0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Obesity Medicine",
"state": "OH",
"license": "35080261",
"primary": false
},
{
"code": "2083A0300X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Addiction Medicine",
"state": "OH",
"license": "35-080261",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BWC",
"identifier": "032021509-00",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7355546",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONWIDE HEALTH PLANS",
"identifier": "106506",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS BLUE SH",
"identifier": "000000295047",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "01-11291",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2364801",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL MUTUAL",
"identifier": "350809868001",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.