Deron L Horman, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35067435H Issued in OH

Practice address

1134 N Main St Ste 1100
Bellefontaine, OH 43311

Phone

(937) 651-6820

Fax

(937) 651-6822

NPI assigned

Nov 5, 2005

Last updated

May 24, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Family Practice

Education

University of Toledo College of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mary Rutan HospitalGroup PAC ID 9032013792, 90 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mary Rutan Hospital Hospital, Bellefontaine, OH, CCN 360197

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• KY PPO
• devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
• devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
• KY PPO C-SNP
• devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
• devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
• OH PPO

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.

• Mary Rutan Hospital

  • General Acute Care Hospital
  • Bellefontaine, OH
  • NPI 1548254931
  Medicare reassignment Care Compare group NPD
• Mary Rutan Hospital

  dba Mary Rutan Jackson Center Family Care

  • Rural Health Clinic/Center
  • Jackson Center, OH
  • NPI 1528806510
  NPD
• Mary Rutan Hospital

  dba Mary Rutan Hospital-Physicians

  • General Practice Physician
  • Bellefontaine, OH
  • NPI 1891997169

  Family Medicine

  NPD
• Emergency Physicians of Northwest Ohio Inc.

  • Emergency Medicine Physician
  • Toledo, OH
  • NPI 1043274418
  NPD (past)
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Mary Rutan Hospital

  dba Mad River Family Practice

  • Family Medicine Physician
  • West Liberty, OH
  • NPI 1003875949
  NPD (past)
• Medical Emergency Treatment Corporation

  • Emergency Medicine Physician
  • Maumee, OH
  • NPI 1437111861
  NPD (past)
• New Vision Nursing and Home Care LLC

  • Home Health Agency
  • Wapakoneta, OH
  • NPI 1275745754
  NPD (past)
• Observation Physicians of Northwest Ohio LLC

  • Emergency Medicine Physician
  • Toledo, OH
  • NPI 1700462967
  NPD (past)

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

• Mary Rutan Hospital

  • General Acute Care Hospital
  • Bellefontaine, OH
  • NPI 1548254931
  Care Compare affiliation

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

{
    "created_epoch": "1131148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527120000000",
    "number": "1003807231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 N MAIN ST STE 1100",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433112379",
            "telephone_number": "937-651-6820",
            "fax_number": "937-651-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1134 N MAIN ST STE 1100",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "43311",
            "telephone_number": "937-651-6820",
            "fax_number": "937-651-6822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1007 W Auglaize St",
            "address_purpose": "LOCATION",
            "city": "Wapakoneta",
            "state": "OH",
            "postal_code": "458951351",
            "country_code": "US",
            "telephone_number": "419-738-9601",
            "fax_number": "419-738-9749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORMAN",
        "first_name": "DERON",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-05",
        "last_updated": "2018-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35067435H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2055430",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00386660",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Craig Holtz, LSW
• Clifton R Hood IV, DO
• Steven Paul Hooley, MD
• Linda J Hoover, CNP
• Mikaela M Hoppe
• Jarrod Robert Houchin
• William A. Houser, M.D.
• Laura Jo Howells
• Jeffrey Colin Huber, DDS
• Julia Nicole Hunt, PTA

• Family Medicine Physician in Bellefontaine, OH
• Providers in Bellefontaine, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.