Unbound Horizon Outpatient Service LLC
NPI 1003775792ActiveOrganization· Physician Assistant· Carthage, MO
Physician Assistant in Carthage, Missouri, registered in NPPES in January 2026. The authorized official on file is Asefa Gebre, PHYSICIAN ASSISTANT, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1003775792 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 19, 2026 |
| Last updated in NPPES | May 15, 2026 |
| Certified by provider | May 15, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
| Counselor, Mental Health | 101YM0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MO) |
|---|
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