NPIMap

Individual provider Active NPI

Damian T Horner, DO

  • Family Medicine Physician
  • Warren, PA
National Provider Identifier
1114984853
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
05012479 Issued in PA
Practice address
14 Plumber St
Warren, PA 16365-1202
Phone
(814) 723-7229
Fax
(814) 723-1518
NPI assigned
Apr 27, 2006
Last updated
Sep 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 05012479 PA Primary

Addresses

Primary practice location

14 Plumber St
Warren, PA 16365-1202

Mailing address

14 Plumber St
Warren, PA 16365-1202
Phone (814) 723-2779

Other identifiers 5

IdentifierTypeStateIssuer
101118527MedicaidPA
1637215OtherPABS
164588OtherPAUNISON
26908201OtherUNIVERA
P00189629OtherPALMETTO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040929000211 PA Practitioner - Family Practice 2668441494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Damian T Horner, DO Family PracticeGroup PAC ID 9638302334, 2 clinicians

Practice addresses (Care Compare)

14 Plumber St
Warren, PA 16365-1202
Phone (814) 723-2779

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.25 of 100Reported as individual
Quality
65.93
Improvement activities
40
Cost
76.28

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
05012479PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Warren Healthcare Associates, Inc CurrentSince Sep 1, 2017 Accepting new patients
Damian T Horner DO Family Practice Family Medicine CurrentSince Feb 10, 2014 Accepting new patients

Locations

14 Plumber St
Warren, PA 16365
Phone (814) 723-2779

10 Plumber St
Warren, PA 16365
Phone (814) 723-2779

Interoperability endpoints

  • Direct secure messaging: dhorner@hornerfamilypractice.medentdirect.com

Organizations & group practices 2

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1114984853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 PLUMBER ST",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163651202",
            "telephone_number": "814-723-2779",
            "fax_number": "814-723-1518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 PLUMBER ST",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163651202",
            "telephone_number": "814-723-7229",
            "fax_number": "814-723-1518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNER",
        "first_name": "DAMIAN",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "05012479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101118527",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS",
            "identifier": "1637215",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "164588",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "26908201",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO",
            "identifier": "P00189629",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, PA

Sources for this page

Verify at the official NPI Registry.