Active NPI
Mary Ann Hanna Horn, D.O.
- Family Medicine Physician
- Bluffton, SC
National Provider Identifier
1710115605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 1167
- Practice address
- 400 Buckwalter Place Blvd.
Bluffton, SC 29910 - Phone
- (800) 420-3471
- NPI assigned
- Jun 30, 2009
- Last updated
- Sep 17, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1167 | SC | Primary |
| General Practice Physician | 208D00000X | 5101018234 | MI |
Addresses
Primary practice location
400 Buckwalter Place Blvd.
Bluffton, SC 29910
Mailing address
4015 Weatherstone Way
Anderson, SC 29621
Phone (843) 424-2747
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016770 | Medicaid | SC |
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance of Home Care Physicians, PC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Warren, MI
- NPI 1811039845
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442448000000",
"number": "1710115605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4015 WEATHERSTONE WAY",
"city": "ANDERSON",
"state": "SC",
"postal_code": "29621",
"telephone_number": "843-424-2747",
"fax_number": "843-424-2747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 BUCKWALTER PLACE BLVD.",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "29910",
"telephone_number": "800-420-3471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORN",
"first_name": "MARY ANN",
"middle_name": "HANNA",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-30",
"last_updated": "2015-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "1167",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MI",
"license": "5101018234",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "016770",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bluffton, SC
- Lydie Holmes, LMSW
- Home Sweet Home in-Home Care Services
- Horizon Medical
- Horizon Rehabilitation and Sports Medicine Limited Partnership
- Debra Horn, PHARM D
- Anthony R Horstman, O.D.
- Hospice Care of the Lowcountry, Inc. (Rays of Hope Behavorial Health)
- Kathleen Eve Aita Houpt, D.C.
- Amanda Ann Houseman
- Howard Family Dental-Pickney Colony, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.