Active NPI
Nancy Horlick, M.D.
- Pediatrics Physician
- Phoenix, AZ
National Provider Identifier
1396745337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 27067
- Practice address
- 26224 N Tatum Blvd
Suite 1
Phoenix, AZ 85050-7500 - Phone
- (480) 563-1111
- Fax
- (480) 563-3044
- NPI assigned
- Jul 29, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 27067 | AZ | Primary |
Addresses
Primary practice location
26224 N Tatum Blvd
Suite 1
Phoenix, AZ 85050-7500
Mailing address
26224 N Tatum Blvd
Suite 1
Phoenix, AZ 85050-7500
Phone (480) 563-1111
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5225829 | Other | CCN | |
| 2Z1962 | Other | AZ | HEALTH NET |
| 12-00497 | Other | UNITED HEALTHCARE | |
| 1229050 | Other | FIRST HEALTH | |
| 210610 | Other | MAYO | |
| 45380304 | Medicaid | AZ | |
| 54847745 | Other | AETNA | |
| AZ0770330 | Other | AZ | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwestern University | Current | Accepting new patients | |
| Midwestern University | Current | Accepting new patients |
Locations
19389 N 59th Ave
Glendale, AZ 85308
26520 Network Pl
Chicago, IL 60673
Phone (630) 743-4500
Interoperability endpoints
- nhorlick25160@direct.midwestern.edu
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.
-
- Multi-Specialty Clinic/Center
- Glendale, AZ
- NPI 1932206414
-
- Optometrist
- Downers Grove, IL
- NPI 1295126324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206662400000",
"number": "1396745337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26224 N TATUM BLVD",
"address_2": "SUITE 1",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850507500",
"telephone_number": "480-563-1111",
"fax_number": "480-563-3044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26224 N TATUM BLVD",
"address_2": "SUITE 1",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850507500",
"telephone_number": "480-563-1111",
"fax_number": "480-563-3044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORLICK",
"first_name": "NANCY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-29",
"last_updated": "2008-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "27067",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCN",
"identifier": "5225829",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "2Z1962",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "12-00497",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "1229050",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAYO",
"identifier": "210610",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "45380304",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "54847745",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "AZ0770330",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.