Organization Active NPI

Philip F Horne DPM PC

  • Podiatrist
  • Carbondale, PA
National Provider Identifier
1568673580
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC003378L Issued in PA
Legal business name
PHILIP F HORNE DPM PC
Practice address
34 N Church St
Carbondale, PA 18407-1905
Phone
(570) 282-1107
Fax
(570) 282-1108
NPI assigned
May 24, 2007
Last updated
May 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2014

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

Authorized official

Name
Dr. Philip F Horne, DPM,PCNPI 1396707691
Title
President
Phone
(570) 282-1107

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC003378L PA Primary

Addresses

Primary practice location

34 N Church St
Carbondale, PA 18407-1905

Mailing address

34 N Church St
Carbondale, PA 18407-1905
Phone (570) 282-1107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050418000104 PA Part B Supplier - Clinic/Group Practice 9234176694 Receives reassigned benefits from 1 practitioner
Practice locations: Carbondale, PA; Peckville, PA
O20100930020515 PA DME Supplier - Physician - Podiatry 9234176694 Practice locations: Carbondale, PA

National Provider Directory

National Provider Directory

Locations

34 N Church St
Carbondale, PA 18407
Phone (570) 282-1107

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400112000000",
    "number": "1568673580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 N CHURCH ST",
            "city": "CARBONDALE",
            "state": "PA",
            "postal_code": "184071905",
            "telephone_number": "570-282-1107",
            "fax_number": "570-282-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 N CHURCH ST",
            "city": "CARBONDALE",
            "state": "PA",
            "postal_code": "184071905",
            "telephone_number": "570-282-1107",
            "fax_number": "570-282-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP F HORNE DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2014-05-15",
        "status": "A",
        "authorized_official_last_name": "HORNE",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-282-1107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM,PC"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC003378L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carbondale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.