Active NPI
Damian T Horner DO Family Practice
- Family Medicine Physician
- Warren, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS012479
- Legal business name
- DAMIAN T HORNER DO FAMILY PRACTICE
- Practice address
- 10 Plumber St
Warren, PA 16365-1202 - Phone
- (814) 723-2779
- NPI assigned
- Feb 10, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Damian T Horner, DO
- Title
- Owner
- Phone
- (814) 723-2779
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS012479 | PA | Primary |
Addresses
Primary practice location
10 Plumber St
Warren, PA 16365-1202
Mailing address
10 Plumber St
Warren, PA 16365-1202
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140505000651 | PA | Part B Supplier - Clinic/Group Practice | 9638302334 |
Receives reassigned benefits from 3 practitioners Practice locations: Warren, PA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2077681 | Horner Family Practice | Certificate of waiver | May 12, 2028 |
National Provider Directory
National Provider DirectoryLocations
14 Plumber St
Warren, PA 16365
Phone (814) 723-2779
10 Plumber St
Warren, PA 16365
Phone (814) 723-2779
Practitioners & affiliated clinicians
Practitioners 20
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Warren, PA
- NPI 1376868950
-
- Orthopaedic Surgery Physician
- York, PA
- NPI 1528335379
-
- Advanced Practice Midwife
- Warren, PA
- NPI 1558342436
-
- Advanced Practice Midwife
- Warren, PA
- NPI 1528049707
-
- Obstetrics & Gynecology Physician
- Wilkes Barre, PA
- NPI 1518043819
-
- Obstetrics & Gynecology Physician
- Warren, PA
- NPI 1760463574
-
- Specialist
- Warren, PA
- NPI 1790768521
-
- Nurse Practitioner
- Sheffield, PA
- NPI 1730144122
-
- Obstetrics & Gynecology Physician
- Pittsburgh, PA
- NPI 1528209699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391990400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1591660800000",
"number": "1154745255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 PLUMBER ST",
"city": "WARREN",
"state": "PA",
"postal_code": "163651202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 PLUMBER ST",
"city": "WARREN",
"state": "PA",
"postal_code": "163651202",
"telephone_number": "814-723-2779"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAMIAN T HORNER DO FAMILY PRACTICE",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-10",
"last_updated": "2020-06-09",
"certification_date": "2020-06-09",
"status": "A",
"authorized_official_last_name": "HORNER",
"authorized_official_first_name": "DAMIAN",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "814-723-2779",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "PA",
"license": "OS012479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warren, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.