Individual provider Active NPI

Alicia Ann Walsh, MD

  • Gynecology Physician
  • Hickory, NC
National Provider Identifier
1871507012
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
25MA06976700 Issued in NJ
Practice address
915 Tate Blvd SE
Suite 170
Hickory, NC 28602-4042
Phone
(828) 345-0800
Fax
(828) 345-0350
NPI assigned
Jul 27, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 25MA06976700 NJ Primary

Addresses

Primary practice location

915 Tate Blvd SE
Suite 170
Hickory, NC 28602-4042

Mailing address

915 Tate Blvd SE
Suite 170
Hickory, NC 28602-4042
Phone (828) 345-0800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20070123000434 NC Practitioner - Obstetrics/Gynecology 5193726867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Rutgers New Jersey Medical School, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uwh of the Carolinas PLLCGroup PAC ID 0042448169, 329 clinicians

Practice addresses (Care Compare)

1806 S Hawthorne Rd
Winston Salem, NC 27103-4014
Phone (336) 768-3632

915 Tate Blvd SE
Suite 170
Hickory, NC 28602-4012
Phone (828) 345-0800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.25 of 100Reported as group
Quality
82.32
Promoting interoperability
100
Improvement activities
40
Cost
78.52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA06976700NJMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Whap, PA Obstetrics & Gynecology Past Accepting new patients
A Woman's View PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: alicia.walsh.1@7773.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1871507012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 TATE BLVD SE",
            "address_2": "SUITE 170",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024042",
            "telephone_number": "828-345-0800",
            "fax_number": "828-345-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 TATE BLVD SE",
            "address_2": "SUITE 170",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024042",
            "telephone_number": "828-345-0800",
            "fax_number": "828-345-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "ALICIA",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NJ",
            "license": "25MA06976700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.