Individual provider Active NPI

Jordan Neff Baker-Horn, D.O

  • Family Medicine Physician
  • Concord Township, OH
National Provider Identifier
1194953976
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.011091 Issued in OH
Practice address
7515 Fredle Dr
Concord Township, OH 44077-9406
Phone
(440) 721-8331
Fax
(440) 721-8333
NPI assigned
Jun 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 5101018216 MI
Family Medicine Physician 207Q00000X 34.011091 OH Primary

Addresses

Primary practice location

7515 Fredle Dr
Concord Township, OH 44077-9406

Mailing address

PO Box 378
Sandusky, OH 44871-0378
Phone (419) 626-6161

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jordanbaker@uhps.allscriptsdirect.net

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160928001228 OH Practitioner - Family Practice 3274820618 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101018216MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc CurrentSince Sep 1, 2016 Accepting new patients
Northern Ohio Medical Specialists, LLC CurrentSince Jul 9, 2021 Accepting new patients
University Primary Care Practices Inc CurrentSince Sep 1, 2016 Accepting new patients
Northern Ohio Medical Specialists LLC Family Medicine CurrentSince Jul 9, 2021 Accepting new patients
University Primary Care Practices Inc Current Accepting new patients
Mansard Medical Associates, Inc. Past Accepting new patients
Northern Ohio Medical Specialists, LLC Past Accepting new patients

Locations

7515 Fredle Dr
Ste B
Concord Township, OH 44077

7515 Fredle Dr
Concord Township, OH 44077
Phone (440) 352-0400

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

470 Bacon Rd
Painesville, OH 44077
Phone (440) 354-9900

3004 Hayes Ave
Sandusky, OH 44870
Phone (419) 625-2841

Organizations & group practices 7

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 2

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

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Ohio Medical Specialists,LLC 252 clinicians

Practice addresses (Care Compare)

7515 Fredle Dr
Concord Township, OH 44077-9406
Phone (440) 721-8331

Hospital & facility affiliations

  • Lake Health Hospital, Concord, OH, CCN 360098
  • Hillcrest Hospital Hospital, Mayfield Heights, OH, CCN 360230

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1194953976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 378",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448710378",
            "telephone_number": "419-626-6161",
            "fax_number": "419-502-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7515 FREDLE DR",
            "city": "CONCORD TOWNSHIP",
            "state": "OH",
            "postal_code": "440779406",
            "telephone_number": "440-721-8331",
            "fax_number": "440-721-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER-HORN",
        "first_name": "JORDAN",
        "middle_name": "NEFF",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101018216",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.011091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jordanbaker@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "470 Bacon Rd",
            "city": "Painesville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440774769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Concord Township, OH

Sources for this page

Verify at the official NPI Registry.