Individual provider Active NPI

Jonathan Philip Horwitz, D.O.

  • Gastroenterology Physician
  • Liberty, MO
National Provider Identifier
1003895749
Registry record updated Feb 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
2010003215 Issued in MO
Practice address
2521 Glenn Hendren Dr
Liberty, MO 64068-3388
Phone
(816) 478-4887
Fax
(816) 478-7140
NPI assigned
Jan 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-114186 IL
Internal Medicine Physician 207R00000X 50318-020 WI
Gastroenterology Physician 207RG0100X 2010003215 MO Primary

Addresses

Primary practice location

2521 Glenn Hendren Dr
Liberty, MO 64068-3388

Mailing address

17501 E 40 Hwy
Suite 213a
Independence, MO 64055-0000
Phone (816) 478-4778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20100614000522 MO Practitioner - GastroenterologyPractitioner - Internal Medicine 6204869951 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Digestive Health Specialists LLCGroup PAC ID 9739494832, 69 clinicians

Practice addresses (Care Compare)

2521 Glenn Hendren Dr
Suite 408
Liberty, MO 64068-3388
Phone (816) 478-4887

Hospital & facility affiliations

  • Liberty Hospital Hospital, Liberty, MO, CCN 260177
  • NKC Health Hospital, North Kansas City, MO, CCN 260096
  • University of Kansas Hospital Hospital, Kansas City, KS, CCN 170040

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy132
Upper gastrointestinal (GI) endoscopy for acid reflux139

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-114186ILMDInternal Medicine Physician
50318-020WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Division - LRHC LLC CurrentSince Jan 2, 2019 Accepting new patients
Digestive Health Specialists, LLC Gastroenterology CurrentSince Oct 1, 2015 Accepting new patients
Excel Anesthesia, LLC Past Accepting new patients

Locations

17501 E US Highway 40
Ste 213A
Independence, MO 64055
Phone (816) 478-7887

3800 S Whitney Ave
Ste 100
Independence, MO 64055

1500 State St
Lexington, MO 64067
Phone (660) 259-2203

2521 Glenn Hendren Dr
Ste 408
Liberty, MO 64068
Phone (816) 474-9353

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296691200000",
    "number": "1003895749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17501 E 40 HWY",
            "address_2": "SUITE 213A",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640550000",
            "telephone_number": "816-478-4778",
            "fax_number": "816-478-7140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 GLENN HENDREN DR",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640683388",
            "telephone_number": "816-478-4887",
            "fax_number": "816-478-7140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORWITZ",
        "first_name": "JONATHAN",
        "middle_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2011-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-114186",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "50318-020",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MO",
            "license": "2010003215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty, MO

Sources for this page

Verify at the official NPI Registry.