Individual provider Active NPI

Michael Patrick Horan, MS, MD

  • Pediatric Orthopaedic Surgery Physician
  • Columbia, SC
National Provider Identifier
1659535706
Registry record updated Sep 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X
License
TL33789 Issued in SC
Practice address
14 Richland Medical Park Dr
Columbia, SC 29203-6877
Phone
(803) 296-9200
Fax
(803) 296-9697
NPI assigned
Jul 17, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Orthopaedic Surgery Physician 207XP3100X TL33789 SC Primary
Orthopaedic Surgery Physician 207X00000X R1278 KY
Pediatric Orthopaedic Surgery Physician 207XP3100X 257503-1 NY

Addresses

Primary practice location

14 Richland Medical Park Dr
Columbia, SC 29203-6877

Mailing address

PO Box 848932
Boston, MA 02284-8932
Phone (803) 296-7303

Other identifiers 2

IdentifierTypeStateIssuer
33789OtherSCLICENSE
337898MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120208000693 SC Practitioner - Orthopedic Surgery 1456518166 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Master of Science

State licenses

LicenseStateTypeSpecialty
R1278KYMDOrthopaedic Surgery Physician
257503-1NYMDPediatric Orthopaedic Surgery Physician
TL33789SCMDPediatric Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health-Midlands CurrentSince Jul 27, 2015 Accepting new patients
Prisma Health-Midlands Current Accepting new patients
Prisma Health-Midlands CurrentSince Jul 27, 2015 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Dec 17, 2016 Accepting new patients
Prisma Health Medical Group-Midlands Orthopaedic Surgery CurrentSince Dec 17, 2016 Accepting new patients
Palmetto Health Orthopaedic Surgery Past Accepting new patients

Locations

14 Richland Medical Park Dr
Ste 200
Columbia, SC 29203
Phone (803) 296-9200

400 Palmetto Health Pkwy
Columbia, SC 29212
Phone (803) 296-5579

1120 Roberts Branch Pkwy
#200
Columbia, SC 29203

1330 Taylor St
Columbia, SC 29201
Phone (803) 296-5137

14 Richland Medical Park Dr
Columbia, SC 29203
Phone (803) 434-6482

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

3555 Harden Street Ext
Ste 300
Columbia, SC 29203
Phone (803) 434-6411

Interoperability endpoints

  • Direct secure messaging: mhoran380596@direct.ghs.myhfn.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442188800000",
    "number": "1659535706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 848932",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022848932",
            "telephone_number": "803-296-7303",
            "fax_number": "803-296-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 RICHLAND MEDICAL PARK DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036877",
            "telephone_number": "803-296-9200",
            "fax_number": "803-296-9697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORAN",
        "first_name": "MICHAEL",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "MS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-17",
        "last_updated": "2015-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "SC",
            "license": "TL33789",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KY",
            "license": "R1278",
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "NY",
            "license": "257503-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "33789",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "337898",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.