Individual provider Active NPI

Christine Edith Kershner Horah, D.O.

  • Family Medicine Physician
  • Newark, DE
National Provider Identifier
1760484018
Registry record updated May 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C20005526 Issued in DE
Practice address
412 Suburban PLZ
Newark, DE 19711-3564
Phone
(302) 738-3770
Fax
(302) 738-4749
NPI assigned
Jun 1, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C20005526 DE Primary
Family Medicine Physician 207Q00000X H0054380 MD

Addresses

Primary practice location

412 Suburban PLZ
Newark, DE 19711-3564

Mailing address

412 Suburban PLZ
Newark, DE 19711-3564
Phone (302) 738-3770

Other identifiers 4

IdentifierTypeStateIssuer
510410752MedicaidMD
P00908838OtherDEMEDICARE RAILROAD PROVIDER PTAN
510410752OtherEMPLOYER IDENT. NUMBER
0001132004MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20031125000553 DE Practitioner - Family Practice 8729982335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

412 Suburban Dr
Newark, DE 19711-3564
Phone (302) 738-3770

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Elkton, MD, CCN 217151
  • Christianacare Homehealth Home health agency, Wilmington, DE, CCN 087002
  • Amedisys Delaware, LLC Home health agency, Dover, DE, CCN 087007
  • Bayada Home Health Care, Inc Home health agency, Wilmington, DE, CCN 087021
  • Union Hospital of Cecil County Hospital, Elkton, MD, CCN 210032
  • Christiana Hospital Hospital, Newark, DE, CCN 080001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
C20005526DEMDFamily Medicine Physician
H0054380MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Abigail Medical Family Medicine, L.L.C. Family Medicine CurrentSince Aug 24, 1999 Accepting new patients

Locations

412 Suburban Dr
Newark, DE 19711
Phone (302) 738-3770

106 Bow St
Elkton, MD 21921
Phone (410) 298-2000

1881 Telegraph Rd
Rising Sun, MD 21911
Phone (302) 290-3543

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/8e2e78e9-d967-4216-a71d-852255f558ed/

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 and National Provider Directory roles.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305763200000",
    "number": "1760484018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 SUBURBAN PLZ",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197113564",
            "telephone_number": "302-738-3770",
            "fax_number": "302-738-4749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 SUBURBAN PLZ",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197113564",
            "telephone_number": "302-738-3770",
            "fax_number": "302-738-4749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORAH",
        "first_name": "CHRISTINE",
        "middle_name": "EDITH KERSHNER",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-01",
        "last_updated": "2011-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C20005526",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "H0054380",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "510410752",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PROVIDER PTAN",
            "identifier": "P00908838",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYER IDENT. NUMBER",
            "identifier": "510410752",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001132004",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.