Lacey Janelle Althausen, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

35.137212 Issued in OH

Practice address

400 Altair Pkwy Ste 4400
Westerville, OH 43082-7654

Phone

(614) 891-4705

Fax

(614) 568-8050

NPI assigned

Jun 17, 2013

Last updated

Jul 11, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: lalthausen80819@copcp.medicity.net

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.

• Central Ohio Primary Care Physicians Inc

  • Hospitalist Physician
  • Westerville, OH
  • NPI 1518398866
  NPD
• Central Ohio Primary Care Physicians, Inc.

  • Internal Medicine Physician
  • Westerville, OH
  • NPI 1194705194

  Pediatrics

  NPD (past)
• Central Ohio Primary Care Physicians, Inc.

  • Clinical Medical Laboratory
  • Westerville, OH
  • NPI 1639279045
  NPD (past)
• Powell Pediatric Care

  • Pediatrics Physician
  • Powell, OH
  • NPI 1801961057
  NPD (past)
• Brookville Pediatric & Internal Medicine, PC

  • Pediatrics Physician
  • Wyoming, MI
  • NPI 1346200847
  NPD (past)

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

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1548609233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ALTAIR PKWY STE 4400",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827654",
            "telephone_number": "614-891-4705",
            "fax_number": "614-568-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ALTAIR PKWY STE 4400",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827654",
            "telephone_number": "614-891-4705",
            "fax_number": "614-568-8050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4885 Olentangy River Rd Ste 1-10",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432141953",
            "country_code": "US",
            "telephone_number": "614-891-4705",
            "fax_number": "614-568-8050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALTHAUSEN",
        "first_name": "LACEY",
        "middle_name": "JANELLE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-17",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.137212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0369416",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mohamed B Alodat
• Estabraq A Alsaadi
• Jacqueline A Alspaugh, NNP
• Myeal Alston
• Alta Home Care LLC
• Kelly M. Altic, MSW, LISW-S
• Always Ready Mobility Inc
• Olivia Alzuraigat
• Amanah Professional Home Health
• Alpha Mohamed Amara

• Pediatrics Physician in Westerville, OH
• Providers in Westerville, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.