Active NPI
James Robert Van Horne, MD
- Adult Reconstructive Orthopaedic Surgery Physician
- Grants Pass, OR
National Provider Identifier
1861495103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Reconstructive Orthopaedic Surgery Physician
- License
- MD19999
- Practice address
- 702 SW Ramsey Ave Ste 112
Grants Pass, OR 97527-5859 - Phone
- (541) 472-0603
- Fax
- (541) 472-0609
- NPI assigned
- May 31, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | MD19999 | OR | Primary |
Addresses
Primary practice location
702 SW Ramsey Ave Ste 112
Grants Pass, OR 97527-5859
Mailing address
2780 E Barnett Rd Ste 200
Medford, OR 97504-8674
Phone (541) 779-6250
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200043447 | Other | OR | MEDICARE RAILROAD |
| 081518 | Medicaid | OR |
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 |
|---|---|---|---|
| MD19999 | OR | MD | Adult Reconstructive Orthopaedic Surgery Physician |
Interoperability endpoints
- jvanhorne552886@oc.providencedirect.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664928000000",
"number": "1861495103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2780 E BARNETT RD STE 200",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975048674",
"telephone_number": "541-779-6250",
"fax_number": "541-608-2535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 SW RAMSEY AVE STE 112",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975275859",
"telephone_number": "541-472-0603",
"fax_number": "541-472-0609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN HORNE",
"first_name": "JAMES",
"middle_name": "ROBERT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-31",
"last_updated": "2022-10-05",
"certification_date": "2022-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "OR",
"license": "MD19999",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "200043447",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "081518",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grants Pass, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.