Organization Active NPI

Earl Horowitz DPM PA

  • Podiatrist
  • Jacksonville, FL
National Provider Identifier
1457529976
Registry record updated Apr 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO298 Issued in FL
Legal business name
EARL HOROWITZ DPM PA
Doing business as
EARL R HOROWITZ DPM
Practice address
2236 Park St
Jacksonville, FL 32204-4316
Phone
(904) 387-0433
Fax
(904) 387-3668
NPI assigned
Feb 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2019

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

Authorized official

Name
Earl R Horowitz, D.P.M.
Title
President/Director
Phone
(904) 387-0433

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X PO0000298 FL
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X PO298 FL Primary

Addresses

Primary practice location

2236 Park St
Jacksonville, FL 32204-4316

Mailing address

2236 Park St
Jacksonville, FL 32204-4316
Phone (904) 387-0433

Other identifiers 3

IdentifierTypeStateIssuer
041210400MedicaidFL
1427050194OtherFLNPI INDIVIDUAL
BPU9TOtherFLBCBS FL

Other names 1

  • EARL R HOROWITZ DPM Doing business as

National Provider Directory

National Provider Directory

Locations

2236 Park St
Jacksonville, FL 32204
Phone (904) 353-8508

NPI Registry JSON

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554076800000",
    "number": "1457529976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2236 PARK ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044316",
            "telephone_number": "904-387-0433",
            "fax_number": "904-387-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2236 PARK ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044316",
            "telephone_number": "904-387-0433",
            "fax_number": "904-387-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARL HOROWITZ DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2019-04-01",
        "status": "A",
        "authorized_official_last_name": "HOROWITZ",
        "authorized_official_first_name": "EARL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
        "authorized_official_telephone_number": "904-387-0433",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO0000298",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041210400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1427050194",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "BPU9T",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EARL R HOROWITZ DPM",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EARL R HOROWITZ DPM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; 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.