Individual provider Active NPI

Gina Maccarone, MD

  • Surgery Physician
  • Cincinnati, OH
National Provider Identifier
1730474917
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35.099438 Issued in OH
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

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Verify at the official NPI Registry.