Anna M Horstman, MD
Individual provider Active NPI Family Medicine Physician · Kalida, OH
NPI 1114904448 · NPPES record last updated Nov 9, 2009
Key facts
- NPI
- 1114904448
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 049354 (OH)
- Practice address
- 109 South Broad St
Kalida, OH 45853 - Phone
- (419) 532-3958
- Fax
- (419) 532-2326
- NPI assigned
- Dec 28, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 049354 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 049354 | OH | Yes |
Addresses
Primary practice location
109 South Broad St
Kalida, OH 45853
Mailing address
109 South Broad St
PO Box 417
Kalida, OH 45853
Phone (419) 532-3958
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0563322 | Medicaid | OH | |
| CA3755 | Other | RAILROAD MEDICARE | |
| 000000025708 | Other | ANTHEM |
Other providers in Kalida, OH
- Thomas Timothy Calvelage
- Heather Renea Ellerbrock
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- Giesken Chiropractic LLC
- Nichole Marie Giesken
- Kalida Local Schools
- Kalida Medical Arts, Inc.
- Kiddos ABA Therapy, LLC
- Lori Klaus
- Trisha Klausing
All providers in Kalida, OH · Family Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.