Catherine Ruth Horner, MD
Individual provider Active NPI Family Medicine Physician · Lady Lake, FL
NPI 1144200569 · NPPES record last updated Feb 5, 2016
Key facts
- NPI
- 1144200569
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- ME104172 (FL)
- 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
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- 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 |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D0045005 | MD | |
| Family Medicine Physician | 207Q00000X | ME104172 | FL | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890001900 | Medicaid | MD |
Other providers in Lady Lake, FL
- Susan Kathleen Hirtz
- Francine Hoh
- Holiday CVS LLC
- Todd David Hope
- Martha Hopkins
- Michael Horsley
- Mohammed Amzad Hossain
- Hannah Grace Houghtaling
- Tonya Marie Houghton
- Robert Kent Howell
All providers in Lady Lake, FL · Family Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2016. 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.