Active NPI
Alicia Watson Thompson, D.O.
- Obstetrics & Gynecology Physician
- Westerville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 34.009467
- Practice address
- 444 N Cleveland Ave Ste 120
Westerville, OH 43082-8388 - Phone
- (614) 818-0300
- Fax
- (614) 818-0313
- NPI assigned
- Mar 12, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 34.009467 | OH | Primary |
Addresses
Primary practice location
444 N Cleveland Ave Ste 120
Westerville, OH 43082-8388
Mailing address
444 N Cleveland Ave Ste 120
Westerville, OH 43082-8388
Phone (614) 818-0300
Other practice location 1
1 Wyoming St
Suite 4130
Dayton, OH 45409-2722
Phone (937) 208-6810
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0090667 | Medicaid | OH |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140423000572 | OH | Practitioner - Obstetrics/Gynecology | 7618109802 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Oh Independent Medical Group LLC
Practice addresses (Care Compare)
444 N Cleveland Ave
Suite 120
Westerville, OH 43082-8388
Phone (614) 818-0300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oh Independent Medical Group LLC | Current | Accepting new patients | |
| Oh Independent Medical Group LLC | Current | Accepting new patients | |
| Wright State Physicians Inc | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
7450 Hospital Dr
Ste 4500
Dublin, OH 43016
Phone (614) 566-0166
444 N Cleveland Ave
Ste 120
Westerville, OH 43082
Phone (614) 818-0300
Interoperability endpoints
- alicia.thompson.1@26020.direct.athenahealth.com
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.
-
- Durable Medical Equipment & Medical Supplies
- Circleville, OH
- NPI 1114753431
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Ambulatory Surgical Clinic/Center
- Dayton, OH
- NPI 1649447582
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664409600000",
"number": "1508998725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "444 N CLEVELAND AVE STE 120",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430828388",
"telephone_number": "614-818-0300",
"fax_number": "614-818-0313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 N CLEVELAND AVE STE 120",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430828388",
"telephone_number": "614-818-0300",
"fax_number": "614-818-0313"
}
],
"practiceLocations": [
{
"address_1": "1 Wyoming St",
"address_2": "Suite 4130",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454092722",
"country_code": "US",
"telephone_number": "937-208-6810",
"fax_number": "937-222-7255",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMPSON",
"first_name": "ALICIA",
"middle_name": "WATSON",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-12",
"last_updated": "2022-09-29",
"certification_date": "2022-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OH",
"license": "34.009467",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0090667",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.