Active NPI
H Douglas Hornbeck
- Clinical Social Worker
- Ashtabula, OH
National Provider Identifier
1316132988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- H DOUGLAS HORNBECK
- Practice address
- 4510 Collins Blvd
Suite 4
Ashtabula, OH 44004-6954 - Phone
- (330) 270-5454
- Fax
- (330) 270-0567
- NPI assigned
- Sep 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- H Douglas Hornbeck, MSSA
- Title
- Owner
- Phone
- (330) 270-5454
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
4510 Collins Blvd
Suite 4
Ashtabula, OH 44004-6954
Mailing address
PO Box 881
Ashtabula, OH 44005-0881
Phone (440) 992-9777
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000199668 | Other | OH | ANTHEM |
| SP00131 | Other | OH | MEDICARE PTAN |
National Provider Directory
National Provider Directory- Tax ID family
- H Douglas Hornbeck
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Social Worker
- Ashtabula, OH
- NPI 1316056252
Locations
4632 Main Ave
Ste 234
Ashtabula, OH 44004
Phone (440) 992-9777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189123200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205107200000",
"number": "1316132988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 881",
"city": "ASHTABULA",
"state": "OH",
"postal_code": "440050881",
"telephone_number": "440-992-9777",
"fax_number": "440-992-9683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4510 COLLINS BLVD",
"address_2": "SUITE 4",
"city": "ASHTABULA",
"state": "OH",
"postal_code": "440046954",
"telephone_number": "330-270-5454",
"fax_number": "330-270-0567"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "H DOUGLAS HORNBECK",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-07",
"last_updated": "2008-03-10",
"status": "A",
"authorized_official_last_name": "HORNBECK",
"authorized_official_first_name": "H DOUGLAS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "330-270-5454",
"authorized_official_credential": "MSSA"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000199668",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "SP00131",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ashtabula, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.