Individual provider Active NPI

Larry Wayne Horton, MD

  • Neurology Physician
  • Palm Harbor, FL
National Provider Identifier
1023092681
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME61926 Issued in FL
Practice address
4140 Woodlands Pkwy
Palm Harbor, FL 34685-3494
Phone
(727) 953-9041
Fax
(727) 953-9043
NPI assigned
Dec 6, 2005
Last updated
May 5, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME61926 FL Primary

Addresses

Primary practice location

4140 Woodlands Pkwy
Palm Harbor, FL 34685-3494

Mailing address

4140 Woodlands Pkwy
Palm Harbor, FL 34685-3494
Phone (727) 953-9041

Other identifiers 2

IdentifierTypeStateIssuer
370538200MedicaidFL
AL246OtherFLMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20051019000162 FL Practitioner - Neurology 1557301637 Reassigns benefits to 1 organization
Practice locations: Clearwater, FL; Largo, FL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME61926FLMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Physician Group Inc Neurology CurrentSince Jun 1, 2020 Accepting new patients
Nueroscience Associates of West Pasco Neurology Past Accepting new patients
Atlas Physical Therapy Inc. PastSince Jul 13, 2016 Accepting new patients

Locations

4140 Woodlands Pkwy
Palm Harbor, FL 34685
Phone (727) 789-1980

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

1245 S Pinellas Ave
Tarpon Springs, FL 34689
Phone (727) 216-0769

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588636800000",
    "number": "1023092681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 WOODLANDS PKWY",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346853494",
            "telephone_number": "727-953-9041",
            "fax_number": "727-953-9043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 WOODLANDS PKWY",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346853494",
            "telephone_number": "727-953-9041",
            "fax_number": "727-953-9043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORTON",
        "first_name": "LARRY",
        "middle_name": "WAYNE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME61926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370538200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AL246",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

Verify at the official NPI Registry.