Prosyre, LLC

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

36946 Issued in MO

Legal business name

PROSYRE, LLC

Practice address

1735 Elm CT
Jefferson City, MO 65101-4129

Phone

(573) 638-2012

Fax

(573) 761-4249

NPI assigned

Jun 26, 2013

Last updated

Jun 26, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stanley R Horner, D.O.

Title

Owner

Phone

(573) 638-2012

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372204800000",
    "number": "1346680154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 ELM CT",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651014129",
            "telephone_number": "573-638-2012",
            "fax_number": "573-761-4249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 ELM CT",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651014129",
            "telephone_number": "573-638-2012",
            "fax_number": "573-761-4249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSYRE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-26",
        "last_updated": "2013-06-26",
        "status": "A",
        "authorized_official_last_name": "HORNER",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-638-2012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "MO",
            "license": "36946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Public Health & General Preventive Medicine Physician in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Public Health & General Preventive Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; 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.