Connie S Horn, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

35051308 Issued in OH

Practice address

807 W Main St
Wilmington, OH 45177-2128

Phone

(937) 382-1864

Fax

(937) 382-8917

NPI assigned

Feb 6, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Clinton Anesthesia Associates Inc.

  • Specialist
  • Wilmington, OH
  • NPI 1053532390
  NPD (past) Authorized official

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248652800000",
    "number": "1891834594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 868",
            "address_2": "807 W MAIN ST",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451770868",
            "telephone_number": "937-382-1864",
            "fax_number": "937-382-8917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 W MAIN ST",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772128",
            "telephone_number": "937-382-1864",
            "fax_number": "937-382-8917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORN",
        "first_name": "CONNIE",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2009-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35051308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000012224",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0606562",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "311127991",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terry K Holten, M.D.
• Stacey Holton
• Jacqueline M Hope, CRNA
• Melanie Hope
• Tracy Leigh Hopkins, MRC, LICDC-CS, SAP
• Mistina Dawn Horton
• Hospitalist Medicine Physicians of Clinton County, LTD
• Andrea K Howard, DNP, APRN, FNP-C
• Deborah Jean Howard, LPN
• Larry Alan Howard, MA, ATC, LAT,

• Anesthesiology Physician in Wilmington, OH
• Providers in Wilmington, OH by specialty
• Anesthesiology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.