Active NPI
Gina Maccarone, MD
- Surgery Physician
- Cincinnati, OH
National Provider Identifier
1730474917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 35.099438
- Practice address
- 4012 Harrison Ave
Cincinnati, OH 45211-4627 - Phone
- (513) 400-4750
- NPI assigned
- Jun 15, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 35.099438 | OH | Primary |
Addresses
Primary practice location
4012 Harrison Ave
Cincinnati, OH 45211-4627
Mailing address
7880 Finley LN
Cincinnati, OH 45242-7308
Phone (513) 218-4882
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140228001817 | KY | Practitioner - General Surgery | 7618110305 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727136000000",
"number": "1730474917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7880 FINLEY LN",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452427308",
"telephone_number": "513-218-4882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4012 HARRISON AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452114627",
"telephone_number": "513-400-4750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACCARONE",
"first_name": "GINA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-15",
"last_updated": "2024-09-24",
"certification_date": "2024-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "35.099438",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.