Horus Medical

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

License

282987 Issued in OH

Legal business name

HORUS MEDICAL

Practice address

4217 Caswell Rd
Johnstown, OH 43031-9592

Phone

(614) 402-5321

Fax

(740) 967-4455

NPI assigned

Oct 26, 2007

Last updated

Oct 26, 2007By the provider in NPPES

Organization subpart

Yes

Parent organization

HORUS MEDICALAs reported in NPPES

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

Authorized official

Name

Mr. Michael Keys Hendershot

Title

President

Phone

(614) 402-5325

Specialties & licenses 2

Addresses

Part of

Horus Medical

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1285813188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4217 CASWELL RD",
            "city": "JOHNSTOWN",
            "state": "OH",
            "postal_code": "430319592",
            "telephone_number": "614-402-5321",
            "fax_number": "740-967-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4217 CASWELL RD",
            "city": "JOHNSTOWN",
            "state": "OH",
            "postal_code": "430319592",
            "telephone_number": "614-402-5321",
            "fax_number": "740-967-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORUS MEDICAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HORUS MEDICAL",
        "enumeration_date": "2007-10-26",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "HENDERSHOT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "KEYS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-402-5325",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "OH",
            "license": "282987",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "OH",
            "license": "282987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elissa Ruth Gonidakis, MA CCC SLP
• Angela Green
• Barton K Hall, D.C.
• Darci Hartshorn, APRN-CNP
• Sara McKenzi Herriott
• Maureen Ann Howard, M.A., SLP-CCC
• Jeffrey R Jaicks DDS LLC
• Julie Laine Jennings
• Johnstown Animal Hospital Inc
• Johnstown Physical Therapy

• Parenteral & Enteral Nutrition Supplies (DME) in Johnstown, OH
• Providers in Johnstown, OH by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.