Active NPI
Laura C Horn, PAC
- Surgical Physician Assistant
- Saint Peters, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- Practice address
- 112 Piper Hill Dr
Suite 9
Saint Peters, MO 63376-1690 - Phone
- (636) 441-3444
- Fax
- (636) 926-2858
- NPI assigned
- Nov 22, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | Primary | ||
| Emergency Medicine Physician | 207P00000X | 2002028066 | MO |
Addresses
Primary practice location
112 Piper Hill Dr
Suite 9
Saint Peters, MO 63376-1690
Mailing address
112 Piper Hill Dr
Suite 9
Saint Peters, MO 63376-1690
Phone (636) 441-3444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00657543 | Other | MO | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Saint Louis University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 W Pearce Blvd
Wentzville, MO 63385-1020
Phone (636) 856-5363
2031 Zumbehl Rd
Saint Charles, MO 63303-2723
Phone (636) 206-2690
2991 Hwy K
O Fallon, MO 63368-7862
Phone (636) 435-2333
409 Lafayette Ctr
Manchester, MO 63011-3943
Phone (636) 707-0764
6167 Mid Rivers Mall Dr
Saint Peters, MO 63304-1105
Phone (636) 364-4990
6460 Ronald Reagan Dr
Lake St Louis, MO 63367-2645
Phone (636) 205-9613
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2002028066 | MO | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laser Spine Institute, LLC | Past | Accepting new patients | |
| BC Missouri Emergency Physicians, LLP | Emergency Medicine | Past | Accepting new patients |
| Lincoln County Hospital | Past | Accepting new patients | |
| North County Emergency Physicians, LLP | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 7
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.
-
- Urgent Care Clinic/Center
- Chesterfield, MO
- NPI 1134673148
-
- Urgent Care Clinic/Center
- Springfield, MO
- NPI 1871094052
-
- Emergency Medicine Physician
- Alton, IL
- NPI 1891104824
-
- Emergency Medicine Physician
- Sullivan, MO
- NPI 1679598247
-
- Emergency Medicine Physician
- Florissant, MO
- NPI 1356366934
-
- Specialist
- Tampa, FL
- NPI 1265483895
-
- Critical Access Hospital
- Lincoln, KS
- NPI 1942265327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244505600000",
"number": "1528041696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 PIPER HILL DR",
"address_2": "SUITE 9",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633761690",
"telephone_number": "636-441-3444",
"fax_number": "636-926-2858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 PIPER HILL DR",
"address_2": "SUITE 9",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633761690",
"telephone_number": "636-441-3444",
"fax_number": "636-926-2858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORN",
"first_name": "LAURA",
"middle_name": "C",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-22",
"last_updated": "2009-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MO",
"license": "2002028066",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00657543",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Peters, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; 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.