Richard J Horbal MD PC

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

4301039488 Issued in MI

Legal business name

RICHARD J HORBAL MD PC

Doing business as

midland allergy clinic

Practice address

555 W Wackerly St
Suite 2675
Midland, MI 48640-4722

Phone

(989) 631-1010

Fax

(989) 839-8800

NPI assigned

Nov 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Richard J Horbal, M.D.NPI 1548244619

Title

President

Phone

(989) 631-1010

Specialties & licenses 1

Addresses

Other identifiers 9

Other names 1

• midland allergy clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Richard J Horbal MD PC

  dba Bay Allergy Clinic

  • Allergy Physician
  • Bay City, MI
  • NPI 1457425688

  O20061204000039

  Same enrollment

Tax ID family

Bay Allergy Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Richard J Horbal MD PC

  dba Bay Allergy Clinic

  • Allergy Physician
  • Bay City, MI
  • NPI 1457425688
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard J Horbal, M.D.

  • Allergy & Immunology Physician
  • Bay City, MI
  • NPI 1548244619
  NPD Authorized official
• Jonathan Michael Horbal, D.O. PLC

  • Allergy & Immunology Physician
  • Midland, MI
  • NPI 1538396239
  NPD

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248307200000",
    "number": "1336228360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 W WACKERLY ST",
            "address_2": "SUITE 2675",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486404722",
            "telephone_number": "989-631-1010",
            "fax_number": "989-839-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W WACKERLY ST",
            "address_2": "SUITE 2675",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486404722",
            "telephone_number": "989-631-1010",
            "fax_number": "989-839-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD J HORBAL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2009-07-23",
        "status": "A",
        "authorized_official_last_name": "HORBAL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-631-1010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "MI",
            "license": "4301039488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0E61134",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142136610",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPLUS OF MI",
            "identifier": "1R00191",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN HEALTH PLAN  MI",
            "identifier": "203484",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0300900191",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY CHOICE OF MI",
            "identifier": "10505 30241",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT LAKES HEALTH PLAN",
            "identifier": "101348",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "0300900191",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DG8718",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "midland allergy clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eusevia Reyes
• Mariah Reyes
• Kerry Brian Reynolds
• Kitty Kay Reynoso
• Martina Rose-Pontious Ricards
• Richards Psychological Services LLC (Connected Wellness)
• Allyn Elizabeth Richards, PH.D.
• Cassandra Anne Richards, LLMSW
• Hailee Richards
• Tyler Mackenzie Richards

• Allergy Physician in Midland, MI
• Providers in Midland, MI by specialty
• Allergy Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.