NPIMap

Individual provider Active NPI

Gina V. Horne, D.O.

  • Internal Medicine Physician
  • Broadview Heights, OH
National Provider Identifier
1881714301
Registry record updated Dec 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34.009476 Issued in OH
Practice address
5901 E Royalton Rd Ste 2200
Broadview Heights, OH 44147-3532
Phone
(440) 838-8222
Fax
(440) 838-8294
NPI assigned
Mar 29, 2007
Last updated
Dec 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34.009476 OH Primary

Addresses

Primary practice location

5901 E Royalton Rd Ste 2200
Broadview Heights, OH 44147-3532

Mailing address

5901 E Royalton Rd Ste 2200
Broadview Heights, OH 44147-3532
Phone (440) 838-8222

Other identifiers 2

IdentifierTypeStateIssuer
2944792MedicaidOH
4266331OtherOHMEDICARE ID

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ginahorne@uhps.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090810000244 OH Practitioner - Internal Medicine 6800949884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

158 W Main Rd
Conneaut, OH 44030-2039

5901 E Royalton Rd
Broadview Heights, OH 44147-3532

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34.009476OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Current Accepting new patients
University Primary Care Practices Inc Internal Medicine CurrentSince Jan 1, 2019 Accepting new patients
University Primary Care Practices Inc CurrentSince Jan 1, 2019 Accepting new patients
University Hospitals Medical Group Inc Past Accepting new patients

Locations

5901 E Royalton Rd
Ste 2200
Broadview Heights, OH 44147
Phone (440) 838-8222

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

Interoperability endpoints

  • Direct secure messaging: ghorne37644@ehrdirect.uhhospitals.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1881714301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 E ROYALTON RD STE 2200",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441473532",
            "telephone_number": "440-838-8222",
            "fax_number": "440-838-8294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 E ROYALTON RD STE 2200",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441473532",
            "telephone_number": "440-838-8222",
            "fax_number": "440-838-8294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNE",
        "first_name": "GINA",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-12-18",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34.009476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2944792",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "4266331",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ginahorne@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "5901 E Royalton Rd Ste 2200",
            "city": "Broadview Heights",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441473532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Broadview Heights, OH

Sources for this page

Verify at the official NPI Registry.