Active NPI
Frank W Horn, MD
- Surgery Physician
- Coudersport, PA
National Provider Identifier
1336253293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD016695E
- Practice address
- 1001 East Second Street
Coudersport, PA 16915-9762 - Phone
- (814) 274-8750
- Fax
- (814) 274-7970
- NPI assigned
- Aug 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD016695E | PA | Primary |
| Vascular Surgery Physician | 2086S0129X | MD016695E | PA | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | MD016695E | PA |
Addresses
Primary practice location
1001 East Second Street
Coudersport, PA 16915-9762
Mailing address
1001 East Second Street
Coudersport, PA 16915-9762
Phone (814) 274-7407
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0006975490001 | Medicaid | PA | |
| 98225 | Other | PA | BLUE SHIELD |
| 02308000 | Other | PA | BLUE CROSS |
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 |
|---|---|---|---|
| MD016695E | PA | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles Cole Memorial Hospital D/B/a Upmc Cole | Past | Accepting new patients | |
| Hanover Surgical Associates | Surgery | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Coudersport, PA
- NPI 1548618853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244505600000",
"number": "1336253293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 EAST SECOND STREET",
"city": "COUDERSPORT",
"state": "PA",
"postal_code": "169159762",
"telephone_number": "814-274-7407",
"fax_number": "814-274-0807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 EAST SECOND STREET",
"city": "COUDERSPORT",
"state": "PA",
"postal_code": "169159762",
"telephone_number": "814-274-8750",
"fax_number": "814-274-7970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORN",
"first_name": "FRANK",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2009-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD016695E",
"primary": true
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "PA",
"license": "MD016695E",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "PA",
"license": "MD016695E",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006975490001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "98225",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "02308000",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coudersport, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.