Individual provider Active NPI

Allen Horesh, M.D.

  • Internal Medicine Physician
  • Anacortes, WA
National Provider Identifier
1447345806
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD00037517 Issued in WA
Practice address
912 32ND St
Suite a
Anacortes, WA 98221-3473
Phone
(360) 293-4343
NPI assigned
Oct 3, 2006
Last updated
Feb 25, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD00037517 WA Primary

Addresses

Primary practice location

912 32ND St
Suite a
Anacortes, WA 98221-3473

Mailing address

912 32ND St
Suite a
Anacortes, WA 98221-3473
Phone (360) 293-4343

Other identifiers 3

IdentifierTypeStateIssuer
7824HOOtherWAREGENCE BLUE SHIELD
8247074MedicaidWA
188553OtherWAWORKMANS COMP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040914000516 WA Practitioner - Internal Medicine 3476520925 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00037517WAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital District No 2 Skagit County Washington CurrentSince Feb 1, 2006 Accepting new patients
Public Hospital District No 2 Skagit County Washington CurrentSince Feb 1, 2006 Accepting new patients
Public Hospital District No 2 Skagit County Washington Current Accepting new patients
Northwest Hospital Medicine Physicians LLC Internal Medicine CurrentSince Jul 30, 2018 Accepting new patients

Locations

1211 24th St
Anacortes, WA 98221
Phone (360) 293-3181

3810 Plaza Way
Kennewick, WA 99338
Phone (509) 221-7000

Interoperability endpoints

  • Direct secure messaging: ahoresh@islandinternalmedicine.direct.min-ns.md

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361750400000",
    "number": "1447345806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 32ND ST",
            "address_2": "SUITE A",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982213473",
            "telephone_number": "360-293-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 32ND ST",
            "address_2": "SUITE A",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982213473",
            "telephone_number": "360-293-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORESH",
        "first_name": "ALLEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2013-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00037517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "7824HO",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8247074",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKMANS COMP",
            "identifier": "188553",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anacortes, WA

Sources for this page

Verify at the official NPI Registry.