Robin Louise Hornung, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD00037807 Issued in WA

Practice address

1807 N Hutchinson Rd
Spokane Valley, WA 99212-2444

Phone

(509) 456-7414

Fax

(509) 624-0763

NPI assigned

Oct 17, 2006

Last updated

Mar 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA, ID, OR3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Dermatology

Education

Yale University School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Dermatology Specialists of SpokaneGroup PAC ID 2567540503, 9 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dermatology Specialists of Spokane

  • Dermatology Physician
  • Spokane, WA
  • NPI 1912179599
  Medicare reassignment Care Compare group NPD
• Mountain West Derm - Blackhart PLLC

  dba Advanced Dermatology & Skin Surgery

  • Dermatology Physician
  • Spokane Valley, WA
  • NPI 1013557933
  Medicare reassignment NPD
• Mountain West Derm - Blackhart PLLC

  dba Advanced Dermatology & Skin Surgery

  • Ambulatory Surgical Clinic/Center
  • Spokane Valley, WA
  • NPI 1619517539

  ID

  Medicare reassignment NPD
• Mountain West Derm - Blackhart PLLC

  dba Bend Dermatology Clinic

  • Dermatology Physician
  • Bend, OR
  • NPI 1447764741
  Medicare reassignment NPD
• Mountain West Derm-Blackhart, PLLC

  dba Dermatology Clinic of Idaho

  • Dermatology Physician
  • Boise, ID
  • NPI 1548758501
  Medicare reassignment NPD
• Bend Dermatology Clinic LLC

  • Dermatology Physician
  • Bend, OR
  • NPI 1649244393
  NPD
• Mountain West Derm-Blackhart, PLLC

  • Dermatology Physician
  • Tigard, OR
  • NPI 1316656994
  NPD
• Mountain West Derm - Blackhart PLLC

  • Dermatology Physician
  • Roseburg, OR
  • NPI 1891467577
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1437230786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 N HUTCHINSON RD",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992122444",
            "telephone_number": "509-456-7414",
            "fax_number": "509-624-0763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 N HUTCHINSON RD",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992122444",
            "telephone_number": "509-456-7414",
            "fax_number": "509-624-0763"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10215 SW Hall Blvd",
            "address_purpose": "LOCATION",
            "city": "Tigard",
            "state": "OR",
            "postal_code": "972238809",
            "country_code": "US",
            "telephone_number": "503-245-2415",
            "fax_number": "503-244-5963",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 W Riverstone Dr",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838145683",
            "country_code": "US",
            "telephone_number": "208-770-2822 x20877",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2747 NE Conners Ave",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977018738",
            "country_code": "US",
            "telephone_number": "541-382-5712",
            "fax_number": "541-382-2605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORNUNG",
        "first_name": "ROBIN",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "ID",
            "license": "M-17188",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OR",
            "license": "MD217733",
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "WA",
            "license": "MD00037807",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WA",
            "license": "MD00037807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010426",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hope of Life Adult Family Home
• Brenden Lamar Hopkins
• Kelsea Hopkins, PA-C MS RDN
• Diana Powell Hornbogen, LMFT
• Keith Frederick Horning, LMP
• Patricia Melanie Hosner, LICSW, CMHS
• Katelynn Houger, RD
• Elizabeth Howard
• Jan M Howard, PT
• Judy A Howard

• Dermatology Physician in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Dermatology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.