Active NPI
Kevin Dale Horn, D.O.
- Emergency Medicine Physician
- Anderson, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 1676
- Practice address
- 800 N Fant St
Anderson, SC 29621-5708 - Phone
- (864) 512-1335
- Fax
- (864) 512-8575
- NPI assigned
- Jun 30, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 5101018232 | MI | |
| Emergency Medicine Physician | 207P00000X | 1676 | SC | Primary |
Addresses
Primary practice location
800 N Fant St
Anderson, SC 29621-5708
Mailing address
800 N Fant St
Accounting Department, Attn: Shelia Wyatt
Anderson, SC 29621-5708
Phone (864) 512-2751
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NPI # | Other | SC | BLUE CROSS & BLUE CHOICE |
| 003138408A | Medicaid | GA | |
| 016761 | Medicaid | SC | |
| 535117 | Other | SC | UHC |
| P01277557 | Other | SC | RAILROAD MEDICARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 N Fant St
Anderson, SC 29621-5708
Phone (864) 512-1000
Hospital & facility affiliations
- St Francis-Downtown
- Anmed Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1676 | SC | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ich ER Services, LLC | Emergency Medicine | Current | Accepting new patients |
| St. Francis Hospital, Inc. | Current | Accepting new patients | |
| St Francis Hospital Inc | Emergency Medicine | Current | Accepting new patients |
| St Francis Hospital Inc | Current | Accepting new patients | |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Vituity-South Carolina LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
318 Maxwell Rd
Ste 500
Alpharetta, GA 30009
Phone (770) 274-0473
800 N Fant St
Ste A
Anderson, SC 29621
Phone (864) 225-5131
800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000
125 Commonwealth Dr
Greenville, SC 29615
Phone (864) 225-1800
1 Saint Francis Dr
Greenville, SC 29601
Phone (864) 225-1000
3970 Grandview Dr
Simpsonville, SC 29680
Phone (864) 255-1000
Interoperability endpoints
- kevin.horn.1@18599.direct.athenahealth.com
Organizations & group practices 8
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.
-
- Emergency Medicine Physician
- Anderson, SC
- NPI 1174002059
-
- Emergency Medicine Physician
- Simpsonville, SC
- NPI 1255170361
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1558305995
-
- Emergency Medicine Physician
- Greenville, SC
- NPI 1194328724
-
- Emergency Medicine Physician
- Greenville, SC
- NPI 1629817630
-
- Oncology Clinic/Center
- Greenville, SC
- NPI 1659175719
-
- Emergency Medicine Physician
- Greenville, SC
- NPI 1780007807
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Anderson, SC
- NPI 1417919531
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1730123175
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1467496802
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1023418035
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1376899856
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": "1401753600000",
"number": "1801024799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 N FANT ST",
"address_2": "ACCOUNTING DEPARTMENT, ATTN: SHELIA WYATT",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296215708",
"telephone_number": "864-512-2751",
"fax_number": "864-512-3719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 N FANT ST",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296215708",
"telephone_number": "864-512-1335",
"fax_number": "864-512-8575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORN",
"first_name": "KEVIN",
"middle_name": "DALE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-30",
"last_updated": "2014-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "5101018232",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "SC",
"license": "1676",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE CHOICE",
"identifier": "NPI #",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003138408A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "016761",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "535117",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01277557",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anderson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.