Elsa Boayes Horn, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

19343 Issued in WI

Practice address

W9071 Forest Drive
Plymouth, WI 53073-0031

Phone

(920) 526-3044

Fax

(920) 526-3819

NPI assigned

Feb 28, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Elsa B Doroin-Horn Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568599207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 RIDGEWOOD CT",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549357623",
            "telephone_number": "920-921-3324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W9071 FOREST DRIVE",
            "city": "PLYMOUTH",
            "state": "WI",
            "postal_code": "530730031",
            "telephone_number": "920-526-3044",
            "fax_number": "920-526-3819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORN",
        "first_name": "ELSA",
        "middle_name": "BOAYES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WI",
            "license": "19343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELSA",
            "last_name": "DOROIN-HORN",
            "middle_name": "B",
            "prefix": "DR.",
            "credential": "M.D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Christine Marie Horneck, RN, RCS
• Dena Horvath, NP
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• Nicole Ann Hunt, RN, R.C.S.

• Specialist in Plymouth, WI
• Providers in Plymouth, WI by specialty
• Specialist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.