Charlene Frances Horan, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

12054 Issued in WV

Practice address

1929 Mason Dixon Hwy
Maidsville, WV 26541-8152

Phone

(304) 879-5020

Fax

(304) 879-4105

NPI assigned

Jan 18, 2006

Last updated

Apr 2, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Core Health Care

  • Internal Medicine Physician
  • Core, WV
  • NPI 1710990007
  NPD (past)
• Core Health Care, PLL

  • Internal Medicine Physician
  • Core, WV
  • NPI 1427162312
  NPD (past)

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1669452637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1929 MASON DIXON HIGHWAY",
            "city": "CORE",
            "state": "WV",
            "postal_code": "26541",
            "telephone_number": "304-879-8521",
            "fax_number": "304-879-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1929 MASON DIXON HWY",
            "city": "MAIDSVILLE",
            "state": "WV",
            "postal_code": "265418152",
            "telephone_number": "304-879-5020",
            "fax_number": "304-879-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORAN",
        "first_name": "CHARLENE",
        "middle_name": "FRANCES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-18",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "12054",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "WV",
            "license": "12054",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000479346",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801631000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P01268324",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "WV3680D142",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joretta Jean Garrett
• Bethany Ann Grace
• Elizabeth G Gregory
• Anna Hart
• Kathleen Heller
• Kelsey Jordan
• Stephanie M Lewis, PA-C
• Brian Dale Louk
• Monongalia County General Hospital Company (Mon Health Medical Center)
• Malia Neville

• Internal Medicine Physician in Maidsville, WV
• Providers in Maidsville, WV by specialty
• Internal Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; 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.