Active NPI
Jay Lenard Horowitz, M.D.
- Anesthesiology Physician
- Saint Cloud, MN
National Provider Identifier
1285684415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD00029475
- Practice address
- 3701 12TH St N
Suite 202
Saint Cloud, MN 56303-2255 - Phone
- (320) 258-3090
- Fax
- (320) 258-3095
- NPI assigned
- May 10, 2006
- Last updated
- Nov 20, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD00029475 | WA | Primary |
Addresses
Primary practice location
3701 12TH St N
Suite 202
Saint Cloud, MN 56303-2255
Mailing address
3701 12TH St N
Suite 202
Saint Cloud, MN 56303-2255
Phone (320) 258-3090
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101525 | Other | WA | L&I ID# |
| 242719001 | Other | WA | GROUP HEALTH ID# |
| 8198309 | Other | WA | CRIME VICTIMS OF WA |
| 1093921 | Medicaid | WA | |
| 141447000 | Other | WA | US DEPT OF LABOR |
| HO8211 | Other | WA | REGENCE BLUE SHIELD OF WA |
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 |
|---|---|---|---|
| MD00029475 | WA | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416441600000",
"number": "1285684415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 12TH ST N",
"address_2": "SUITE 202",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563032255",
"telephone_number": "320-258-3090",
"fax_number": "320-258-3095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 12TH ST N",
"address_2": "SUITE 202",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563032255",
"telephone_number": "320-258-3090",
"fax_number": "320-258-3095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOROWITZ",
"first_name": "JAY",
"middle_name": "LENARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2014-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WA",
"license": "MD00029475",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I ID#",
"identifier": "101525",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP HEALTH ID#",
"identifier": "242719001",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRIME VICTIMS OF WA",
"identifier": "8198309",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1093921",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT OF LABOR",
"identifier": "141447000",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD OF WA",
"identifier": "HO8211",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Cloud, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.