David Hornickle, MD
Individual provider Active NPI Family Medicine Physician · Oley, PA
NPI 1821089269 · NPPES record last updated Feb 14, 2011
Key facts
- NPI
- 1821089269
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD422611 (PA)
- Practice address
- 346 Main St
Oley, PA 19547-8712 - Phone
- (610) 987-9870
- Fax
- (610) 987-0029
- NPI assigned
- Nov 3, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260504006026 | PA | Order and Referring Only - Family Practice |
3375533870 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD422611 | PA | Yes |
Addresses
Primary practice location
346 Main St
Oley, PA 19547-8712
Mailing address
346 Main St
Oley, PA 19547-8712
Phone (610) 987-9870
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100901959 | Medicaid | PA |
Other providers in Oley, PA
- Jennifer Dunn
- Catherine K. Goetz
- Jeffrey A Gold
- Brianna Elizabeth Graczyk
- Daniel Charles Heydt
- Gary Steven Horwith
- Leslie K Jaros
- Jeffrey Gold Dba Oley Medical Associates
- Alexis Erika Jeschonnek
- Rachael Louise Karas
All providers in Oley, PA · Family Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.