Individual provider Active NPI

Walter Harry Horner, PH.D., M.D., ESQ.

  • Internal Medicine Physician
  • Morgantown, WV
National Provider Identifier
1619228491
Registry record updated Sep 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
23225 Issued in WV
Practice address
1421 Eastern Ave
Morgantown, WV 26505-2347
Phone
(304) 599-2240
Fax
(866) 375-5947
NPI assigned
Sep 20, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 23225 WV Primary
Internal Medicine Physician 207R00000X 0101037164 VA

Addresses

Primary practice location

1421 Eastern Ave
Morgantown, WV 26505-2347

Mailing address

1421 Eastern Ave
Morgantown, WV 26505-2347
Phone (304) 599-2240

Other names 1

  • Dr. W. Harry Horner Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0101037164VAMDInternal Medicine Physician
23225WVMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348099200000",
    "number": "1619228491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 EASTERN AVE",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265052347",
            "telephone_number": "304-599-2240",
            "fax_number": "866-375-5947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 EASTERN AVE",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265052347",
            "telephone_number": "304-599-2240",
            "fax_number": "866-375-5947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNER",
        "first_name": "WALTER",
        "middle_name": "HARRY",
        "name_prefix": "Dr.",
        "credential": "PH.D., M.D., ESQ.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-20",
        "last_updated": "2012-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "23225",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101037164",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "W.",
            "last_name": "HORNER",
            "middle_name": "HARRY",
            "prefix": "DR.",
            "credential": "PH.D., M.D., ESQ.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; 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.