Organization Active NPI

Vern H Horton MD PC

  • Surgery Physician
  • Missoula, MT
National Provider Identifier
1104943489
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
3719 Issued in MT
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

Updated by the provider on Jan 7, 2008

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0019617MedicaidMT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.