Active NPI
Catherine Ruth Horner, MD
- Family Medicine Physician
- Lady Lake, FL
National Provider Identifier
1144200569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME104172
- Practice address
- 1400 N US Highway 441
North Suite 531
Lady Lake, FL 32159-8975 - Phone
- (352) 674-1720
- Fax
- (352) 750-5180
- NPI assigned
- Jan 20, 2006
- Last updated
- Feb 5, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D0045005 | MD | |
| Family Medicine Physician | 207Q00000X | ME104172 | FL | Primary |
Addresses
Primary practice location
1400 N US Highway 441
North Suite 531
Lady Lake, FL 32159-8975
Mailing address
2297 Montbrook Place
The Villages, FL 32162
Phone (410) 430-7985
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME104172 | FL | MD | Family Medicine Physician |
| D0045005 | MD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delmarva Internal & Family Medicine, P.a. | Past | Accepting new patients | |
| DRS Morres Gianelle Goertzen & Assoc PA | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
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.
-
- Preferred Provider Organization
- Salisbury, MD
- NPI 1285617894
-
dba Chesapeake Medical Solutions TA Your Doc's In
- Emergency Medicine Physician
- Ocean City, MD
- NPI 1467439752
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454630400000",
"number": "1144200569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2297 MONTBROOK PLACE",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "32162",
"telephone_number": "410-430-7985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 N US HIGHWAY 441",
"address_2": "NORTH SUITE 531",
"city": "LADY LAKE",
"state": "FL",
"postal_code": "321598975",
"telephone_number": "352-674-1720",
"fax_number": "352-750-5180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORNER",
"first_name": "CATHERINE",
"middle_name": "RUTH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-20",
"last_updated": "2016-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "D0045005",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME104172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lady Lake, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.