Active NPI
Sue Hornyak, CNP
- Nurse Practitioner
- Uniontown, OH
National Provider Identifier
1457588584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 06481
- Practice address
- 3730 Tabs Dr
Uniontown, OH 44685-9562 - Phone
- (330) 563-0618
- Fax
- (330) 563-0604
- NPI assigned
- Jun 16, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 06481 | OH | Primary |
Addresses
Primary practice location
3730 Tabs Dr
Uniontown, OH 44685-9562
Mailing address
3730 Tabs Dr
Uniontown, OH 44685-9562
Phone (330) 563-0618
Other practice location 1
525 E Market St
Akron, OH 44304-1619
Phone (330) 375-3369
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN.194342 | Other | OH | LICENSE |
| 0149687 | Medicaid | OH |
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06481 | OH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Canton Aultman Emergency Physicians Inc | Current | Accepting new patients | |
| Stark County Pathologists Inc | Current | Accepting new patients |
Locations
2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Canton, OH
- NPI 1801832381
-
- Anatomic Pathology & Clinical Pathology Physician
- Canton, OH
- NPI 1194030437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1457588584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3730 TABS DR",
"city": "UNIONTOWN",
"state": "OH",
"postal_code": "446859562",
"telephone_number": "330-563-0618",
"fax_number": "330-563-0604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3730 TABS DR",
"city": "UNIONTOWN",
"state": "OH",
"postal_code": "446859562",
"telephone_number": "330-563-0618",
"fax_number": "330-563-0604"
}
],
"practiceLocations": [
{
"address_1": "525 E Market St",
"address_purpose": "LOCATION",
"city": "Akron",
"state": "OH",
"postal_code": "443041619",
"country_code": "US",
"telephone_number": "330-375-3369",
"fax_number": "330-375-3769",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HORNYAK",
"first_name": "SUE",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-16",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "06481",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "RN.194342",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0149687",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Uniontown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.