Alisa Marie Earle, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

5327 Hutchinson Rd
Batavia, OH 45103-9511

Phone

(139) 814-1705

Fax

(513) 981-4171

NPI assigned

Sep 9, 2015

Last updated

Jul 9, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Alisa Marie Racic Former name

Medicare fee-for-service enrollment

Enrolled in OH, KY2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

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  Medicare reassignment NPD
• Emergency Medicine Physicians of Champaign County LTD

  • Emergency Medicine Physician
  • Springfield, OH
  • NPI 1285078220
  Medicare reassignment
• Emergency Medicine Physicians of Cincinnati, LTD.

  • Emergency Medicine Physician
  • Cincinnati, OH
  • NPI 1922483213
  Medicare reassignment
• Compass Emergency Physicians PSC

  dba Compass Emergency Physicians

  • Emergency Medicine Physician
  • Edgewood, KY
  • NPI 1841696739
  Medicare reassignment
• Mercy Health Physicians Cincinnati LLC

  dba Mercy Health - Orthopaedics and Spine, Liberty Falls

  • Durable Medical Equipment & Medical Supplies
  • Liberty Township, OH
  • NPI 1790281517
  NPD
• Mercy Health Physicians Cincinnati Specialty Care LLC

  dba Mercy Health- Kyles Station Orthopedic and Sports Medicine

  • Durable Medical Equipment & Medical Supplies
  • Liberty TWP, OH
  • NPI 1730993270
  NPD
• Mercy Health Physicians Cincinnati, LLC

  • Family Medicine Physician
  • Blue Ash, OH
  • NPI 1205887023

  Physician Assistant

  NPD
• Emergency Medicine Physicians of Hamilton County, LTD.

  • Emergency Medicine Physician
  • Cincinnati, OH
  • NPI 1699086801
  NPD (past)

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1568830487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5327 HUTCHINSON RD",
            "city": "BATAVIA",
            "state": "OH",
            "postal_code": "451039511",
            "telephone_number": "139-814-1705",
            "fax_number": "513-981-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5327 HUTCHINSON RD",
            "city": "BATAVIA",
            "state": "OH",
            "postal_code": "451039511",
            "telephone_number": "139-814-1705",
            "fax_number": "513-981-4171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "238 Barnes Rd",
            "address_purpose": "LOCATION",
            "city": "Williamstown",
            "state": "KY",
            "postal_code": "410979482",
            "country_code": "US",
            "telephone_number": "859-824-8240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 James Simpson Jr Way",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "KY",
            "postal_code": "410110801",
            "country_code": "US",
            "telephone_number": "859-655-4353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Village Dr",
            "address_purpose": "LOCATION",
            "city": "Edgewood",
            "state": "KY",
            "postal_code": "410173403",
            "country_code": "US",
            "telephone_number": "859-301-2250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Batavia",
            "state": "OH",
            "postal_code": "451031921",
            "country_code": "US",
            "telephone_number": "513-732-8200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EARLE",
        "first_name": "ALISA",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "TC172",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISA",
            "last_name": "RACIC",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Physician Assistant in Batavia, OH
• Providers in Batavia, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.