Individual provider Active NPI

Gary Horsmon, PA-C, ATC

  • Physician Assistant
  • Lutherville, MD
National Provider Identifier
1598758930
Registry record updated Nov 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0003399 Issued in MD
Practice address
10753 Falls Rd
Suite 215
Lutherville, MD 21093-4535
Phone
(410) 583-2850
NPI assigned
Aug 30, 2005
Last updated
Nov 1, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0003399 MD Primary
Athletic Trainer 2255A2300X

Addresses

Primary practice location

10753 Falls Rd
Suite 215
Lutherville, MD 21093-4535

Mailing address

7410 Stanmore CT
Baltimore, MD 21212-1129
Phone (410) 821-6628

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070125000266 MD Practitioner - Physician Assistant 6002817558 Reassigns benefits to 1 organization
I20140218001363 DC Practitioner - Physician Assistant 6002817558

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0003399MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University CurrentSince Apr 28, 2017 Accepting new patients
Johns Hopkins University CurrentSince Apr 28, 2017 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Luminis Health Medical Group, LLC Past Accepting new patients

Locations

4940 Eastern Ave
Baltimore, MD 21224

10753 Falls Rd
Ste 215
Lutherville Timonium, MD 21093
Phone (410) 583-2850

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383264000000",
    "number": "1598758930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7410 STANMORE CT",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212121129",
            "telephone_number": "410-821-6628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10753 FALLS RD",
            "address_2": "SUITE 215",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210934535",
            "telephone_number": "410-583-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORSMON",
        "first_name": "GARY",
        "name_prefix": "Mr.",
        "credential": "PA-C, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2013-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0003399",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

Verify at the official NPI Registry.