NPIMap

Organization Active NPI

Horizon Surgical Group, PA

Doing business as Horizon Vascular Specialists

  • Vascular Surgery Physician
  • Germantown, MD
National Provider Identifier
1366449365
Registry record updated Mar 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
HORIZON SURGICAL GROUP, PA
Doing business as
Horizon Vascular Specialists
Practice address
20410 Observation Drive
Suite 100
Germantown, MD 20876-6419
Phone
(301) 762-0277
Fax
(301) 330-9108
NPI assigned
Jul 5, 2005
Last updated
Mar 22, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2017

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

Authorized official

Name
Mr. Robert Fox, M.D.NPI 1487652160
Title
Partner/Authorized Official
Phone
(301) 330-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X MD Primary

Addresses

Primary practice location

20410 Observation Drive
Suite 100
Germantown, MD 20876-6419

Mailing address

20410 Observation Drive
Suite 100
Germantown, MD 20876-6419
Phone (301) 762-0277

Other names 1

  • Horizon Vascular Specialists Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040209000688 DC Part B Supplier - Clinic/Group Practice 3173417540 Receives reassigned benefits from 9 practitioners
Practice locations: Germantown, MD; Olney, MD; Rockville, MD
O20061229000039 MD Part B Supplier - Clinic/Group Practice 3173417540 Receives reassigned benefits from 11 practitioners
Practice locations: Frederick, MD

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

1003 W 7th St
Ste A
Frederick, MD 21701
Phone (240) 529-1414

18111 Prince Philip Dr
Ste 126
Olney, MD 20832
Phone (301) 570-4866

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490140800000",
    "number": "1366449365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20410 OBSERVATION DRIVE",
            "address_2": "SUITE 100",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208766419",
            "telephone_number": "301-762-0277",
            "fax_number": "301-330-9108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20410 OBSERVATION DRIVE",
            "address_2": "SUITE 100",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208766419",
            "telephone_number": "301-762-0277",
            "fax_number": "301-330-9108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON SURGICAL GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-05",
        "last_updated": "2017-03-22",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PARTNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "301-330-1000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Horizon Vascular Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Germantown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.