Active NPI
Donald L Horney, MD, PC
- Specialist
- Gallup, NM
National Provider Identifier
1780604587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 91-222
- Legal business name
- DONALD L HORNEY, MD, PC
- Practice address
- 1332 S Country Club Dr
Gallup, NM 87301-5665 - Phone
- (505) 863-2134
- Fax
- (505) 863-8900
- NPI assigned
- Jul 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donald L Horney, PH.D., M.D.
- Title
- President
- Phone
- (505) 870-0640
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 91-222 | NM | Primary |
Addresses
Primary practice location
1332 S Country Club Dr
Gallup, NM 87301-5665
Mailing address
PO Box 218
Gallup, NM 87305-0218
Phone (505) 870-0640
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E1393 | Medicaid | NM | |
| 327909 | Medicaid | AZ | |
| 00NM009587 | Other | NM | BCBS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1780604587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 218",
"city": "GALLUP",
"state": "NM",
"postal_code": "873050218",
"telephone_number": "505-870-0640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1332 S COUNTRY CLUB DR",
"city": "GALLUP",
"state": "NM",
"postal_code": "873015665",
"telephone_number": "505-863-2134",
"fax_number": "505-863-8900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DONALD L HORNEY, MD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HORNEY",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "505-870-0640",
"authorized_official_credential": "PH.D., M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "NM",
"license": "91-222",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "E1393",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "327909",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "00NM009587",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gallup, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.