Active NPI
Vern H Horton MD PC
- Surgery Physician
- Missoula, MT
National Provider Identifier
1104943489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 3719
- Legal business name
- VERN H HORTON MD PC
- Practice address
- 2827 Ft Missoula Rd
Missoula, MT 59804 - Phone
- (406) 728-4100
- Fax
- (406) 327-4502
- NPI assigned
- Mar 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Suzanne Ball Horton
- Title
- Office Manager Corp Secretary
- Phone
- (406) 251-2160
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 3719 | MT | Primary |
Addresses
Primary practice location
2827 Ft Missoula Rd
Missoula, MT 59804
Mailing address
5750 Cochise Drive
Missoula, MT 59804-9746
Phone (406) 251-2160
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0019617 | Medicaid | MT |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Missoula, MT
- NPI 1073597639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1199664000000",
"number": "1104943489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5750 COCHISE DRIVE",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598049746",
"telephone_number": "406-251-2160",
"fax_number": "406-251-2160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2827 FT MISSOULA RD",
"city": "MISSOULA",
"state": "MT",
"postal_code": "59804",
"telephone_number": "406-728-4100",
"fax_number": "406-327-4502"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VERN H HORTON MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-23",
"last_updated": "2008-01-07",
"status": "A",
"authorized_official_last_name": "HORTON",
"authorized_official_first_name": "SUZANNE",
"authorized_official_middle_name": "BALL",
"authorized_official_title_or_position": "OFFICE MANAGER CORP SECRETARY",
"authorized_official_telephone_number": "406-251-2160",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "MT",
"license": "3719",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0019617",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.