Individual provider Active NPI

Sue Hornyak, CNP

  • Nurse Practitioner
  • Uniontown, OH
National Provider Identifier
1457588584
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
06481 Issued in OH
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

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
RN.194342OtherOHLICENSE
0149687MedicaidOH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170316002612 OH Practitioner - Nurse Practitioner 3577861590 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
06481OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Canton Aultman Emergency Physicians Inc CurrentSince Mar 1, 2017 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.

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

Verify at the official NPI Registry.