Individual provider Active NPI

Heather Lynn Hornstein, P.A.

  • Surgical Physician Assistant
  • St Petersburg, FL
National Provider Identifier
1578845855
Registry record updated Oct 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PAT9106140 Issued in FL
Practice address
900 Carillon Pkwy
Suite 311
St Petersburg, FL 33716-1115
Phone
(727) 573-5626
NPI assigned
Sep 13, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PAT9106140 FL Primary

Addresses

Primary practice location

900 Carillon Pkwy
Suite 311
St Petersburg, FL 33716-1115

Mailing address

4229 Sunrise Dr S
Unit C
St Petersburg, FL 33705-4520
Phone (727) 408-7033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111018000363 FL Practitioner - Physician Assistant 8729250733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eaton Orthopaedics LLCGroup PAC ID 0941229991, 5 clinicians

Practice addresses (Care Compare)

900 Carillon Pkwy
Suite 311
Saint Petersburg, FL 33716-1120
Phone (727) 573-5626

Hospital & facility affiliations

  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
PAT9106140FLMDSurgical Physician Assistant

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414540800000",
    "number": "1578845855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4229 SUNRISE DR S",
            "address_2": "UNIT C",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337054520",
            "telephone_number": "727-408-7033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CARILLON PKWY",
            "address_2": "SUITE 311",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337161115",
            "telephone_number": "727-573-5626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNSTEIN",
        "first_name": "HEATHER",
        "middle_name": "LYNN",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-13",
        "last_updated": "2014-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PAT9106140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.