Individual provider Active NPI

John Daniel Horton, M.D.

  • Pediatric Surgery Physician
  • Boise, ID
National Provider Identifier
1487690889
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
7971675 Issued in ID
Practice address
305 E Jefferson St
Boise, ID 83712-6231
Phone
(208) 381-7370
Fax
(208) 381-7377
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Surgery Physician 2086S0120X MD160235 OR
Pediatric Surgery Physician 2086S0120X 036-131051 IL
Pediatric Surgery Physician 2086S0120X 7971675 ID Primary
Pediatric Surgery Physician 2086S0120X 0101271609 VA
Pediatric Surgery Physician 2086S0120X 60295888 WA
Pediatric Surgery Physician 2086S0120X R2624 TX
Military Health Care Provider 171000000X 23815 NE
Pediatric Surgery Physician 2086S0120X 85445 SC

Addresses

Primary practice location

305 E Jefferson St
Boise, ID 83712-6231

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Other practice location 1

9 Richland Medical Park Dr Ste 500
Columbia, SC 29203-6870
Phone (803) 344-4555

Other practice location 2

Madigan Army Medical Center 9040 Fitzsimmons
Tacoma, WA 98431-2170
Phone (253) 968-0790

Other practice location 3

4845 Alameda Ave
El Paso, TX 79905-2705
Phone (915) 298-5444

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jhorton514492@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, IL, WA, AK, TX, PA, NJ, SC8 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 8

Enrollment IDStateProvider typePAC IDDetails
I20130204000328 OR Practitioner - General SurgeryPractitioner - Pediatric Medicine 9133373988 Reassigns benefits to 2 organizations
I20130315000380 IL Practitioner - General SurgeryPractitioner - Other (Physician) 9133373988 Reassigns benefits to 1 organization
I20140522002458 WA Practitioner - General Surgery 9133373988 Reassigns benefits to 2 organizations
I20150918001598 AK Practitioner - Other (Physician)Practitioner - General Surgery 9133373988 Reassigns benefits to 1 organization
I20170816002001 TX Practitioner - Pediatric Medicine 9133373988 Reassigns benefits to 3 organizations
I20170918002235 PA Practitioner - General Surgery 9133373988 Reassigns benefits to 2 organizations
I20201211000197 NJ Practitioner - Pediatric Medicine 9133373988 Reassigns benefits to 1 organization
I20251023002513 SC Practitioner - General Surgery 9133373988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Uniformed Services Uhs Fe Hebert School of Med, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

300 E McBee Ave
Greenville, SC 29601-2842

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23815NEMDMilitary Health Care Provider
7971675IDMDPediatric Surgery Physician
036-131051ILMDPediatric Surgery Physician
MD160235ORMDPediatric Surgery Physician
85445SCMDPediatric Surgery Physician
R2624TXMDPediatric Surgery Physician
0101271609VAMDPediatric Surgery Physician
60295888WAMDPediatric Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Apr 6, 2015 Accepting new patients
Magella Medical Associates Billing, Inc. CurrentSince Oct 18, 2023 Accepting new patients
The Milton S Hershey Medical Center Physician Group CurrentSince Aug 1, 2022 Accepting new patients
Shriners Hospitals for Children Current Accepting new patients
The Milton S Hershey Medical Center Physicians Group CurrentSince Aug 1, 2022 Accepting new patients
Shriners Hospitals for Children CurrentSince Sep 9, 2023 Accepting new patients
Multicare Health System Current Accepting new patients
The Milton S Hershey Medical Center Physicians Group Current Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Oct 24, 2025 Accepting new patients
Swedish Health Services Pediatric Surgery CurrentSince Mar 31, 2014 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 1, 2021 Accepting new patients
Geisinger Clinic CurrentSince Aug 1, 2017 Accepting new patients
Multicare Health System CurrentSince Apr 6, 2015 Accepting new patients
Alaska Pediatric Specialties LLC CurrentSince Sep 13, 2017 Accepting new patients
Geisinger Clinic Current Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 1, 2021 Accepting new patients
Geisinger Clinic CurrentSince Aug 1, 2017 Accepting new patients
Shriners Hospitals for Children CurrentSince Sep 9, 2023 Accepting new patients
Peacehealth Medical Group CurrentSince Apr 30, 2015 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Jul 20, 2017 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Oct 24, 2025 Accepting new patients
Carle Health Care Incorporated CurrentSince Oct 17, 2019 Accepting new patients

Locations

4000 Ambassador Dr
Anchorage, AK 99508
Phone (907) 729-1900

4100 Lake Otis Pkwy
Ste 206
Anchorage, AK 99508
Phone (907) 561-5007

3841 Piper St
Ste T4-020
Anchorage, AK 99508
Phone (907) 646-8500

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

3600 State Route 66
Fl 3
Neptune City, NJ 07753
Phone (732) 807-0463

4010 Aerial Way
Eugene, OR 97402
Phone (541) 242-8300

3101 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 221-3424

100 N Academy Ave
Danville, PA 17822

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

9 Richland Medical Park Dr
Ste 500
Columbia, SC 29203
Phone (803) 344-4555

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

4845 Alameda Ave
El Paso, TX 79905
Phone (915) 215-5700

11777 FM 1960 Rd W
Houston, TX 77065
Phone (832) 828-3501

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

200 Lilly Rd NE
Ste C
Olympia, WA 98506
Phone (360) 918-8336

1101 Madison St
Ste 800
Seattle, WA 98104

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

600 University St
Ste 1200
Seattle, WA 98101
Phone (206) 320-2568

101 W 8th Ave
Ste 4200E
Spokane, WA 99204
Phone (509) 474-5440

317 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 403-1400

Interoperability endpoints

  • Direct secure messaging: jhorton14327@direct.peacehealth.org
  • Direct secure messaging: john.horton@direct.hackensackmeridian.org
  • Direct secure messaging: jhorton888813@direct.ghs.myhfn.org
  • Direct secure messaging: jhorton514492@wm.providencedirect.org
  • Direct secure messaging: jhorton1472294@direct.bsmhealth.org
  • Direct secure messaging: jhortonmd290857@carlehiedirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1487690889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 E JEFFERSON ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126231",
            "telephone_number": "208-381-7370",
            "fax_number": "208-381-7377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Richland Medical Park Dr Ste 500",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292036870",
            "country_code": "US",
            "telephone_number": "803-344-4555",
            "fax_number": "803-434-5699",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Madigan Army Medical Center 9040 Fitzsimmons",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984312170",
            "country_code": "US",
            "telephone_number": "253-968-0790",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4845 Alameda Ave",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799052705",
            "country_code": "US",
            "telephone_number": "915-298-5444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORTON",
        "first_name": "JOHN",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "OR",
            "license": "MD160235",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "IL",
            "license": "036-131051",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "ID",
            "license": "7971675",
            "primary": true
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "VA",
            "license": "0101271609",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "WA",
            "license": "60295888",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "TX",
            "license": "R2624",
            "primary": false
        },
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "NE",
            "license": "23815",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "SC",
            "license": "85445",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jhorton514492@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1101 Madison St Ste 800",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981041307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.