Active NPI
Jon A Horine, MD
- Gastroenterology Physician
- Kansas City, MO
National Provider Identifier
1356336929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MD R8C47
- Practice address
- 6675 Holmes Rd
Suite 550
Kansas City, MO 64131-1150 - Phone
- (816) 363-7710
- Fax
- (816) 363-8414
- NPI assigned
- Sep 20, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | MD R8C47 | MO | Primary |
| Gastroenterology Physician | 207RG0100X | 04-20022 | KS |
Addresses
Primary practice location
6675 Holmes Rd
Suite 550
Kansas City, MO 64131-1150
Mailing address
6675 Holmes Rd
Suite 550
Kansas City, MO 64131-1150
Phone (816) 363-7710
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201958303 | Medicaid | MO | |
| 100452680A | Medicaid | KS | |
| 100452680B | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD R8C47 | MO | MD | Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260921600000",
"number": "1356336929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6675 HOLMES RD",
"address_2": "SUITE 550",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641311150",
"telephone_number": "816-363-7710",
"fax_number": "816-363-8414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6675 HOLMES RD",
"address_2": "SUITE 550",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641311150",
"telephone_number": "816-363-7710",
"fax_number": "816-363-8414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORINE",
"first_name": "JON",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-20",
"last_updated": "2009-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MO",
"license": "MD R8C47",
"primary": true
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "KS",
"license": "04-20022",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201958303",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100452680A",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100452680B",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.