Individual provider Active NPI

Michael B Horowitz, MD

  • Neurological Surgery Physician
  • Orange Park, FL
National Provider Identifier
1881662716
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
ME140930 Issued in FL
Practice address
1887 Kingsley Ave Ste 1900
Orange Park, FL 32073-4451
Phone
(904) 276-7336
Fax
(904) 276-7337
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X MD043535L PA
Neurological Surgery Physician 207T00000X ME140930 FL Primary

Addresses

Primary practice location

1887 Kingsley Ave Ste 1900
Orange Park, FL 32073-4451

Mailing address

1887 Kingsley Ave Ste 1900
Orange Park, FL 32073-4451
Phone (904) 276-7336

Other identifiers 1

IdentifierTypeStateIssuer
0017519700003MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MICHAEL.HOROWITZ@hca5.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20190801002422 FL Practitioner - Neurosurgery 3870660210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Rochester School of Medicine and Dentistry, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Memorial Neurosurgery Group LLCGroup PAC ID 9537261185, 8 clinicians

Practice addresses (Care Compare)

2001 Kingsley Ave
Jacksonville, FL 32073-5148
Phone (904) 276-8500

Hospital & facility affiliations

  • HCA Florida Orange Park Hospital Hospital, Orange Park, FL, CCN 100226

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME140930FLMDNeurological Surgery Physician
MD043535LPAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Neurosurgery Group LLC Neurological Surgery CurrentSince Jul 1, 2020 Accepting new patients
Memorial Neurosurgery Group LLC Neurological Surgery CurrentSince Jul 1, 2020 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

1887 Kingsley Ave
Ste 1900
Orange Park, FL 32073
Phone (904) 272-9981

1825 Kingsley Ave
Ste 170
Orange Park, FL 32073
Phone (904) 272-9981

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: michael.horowitz@hca5.eclinicaldirectplus.com

Organizations & group practices 3

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 1

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1881662716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1887 KINGSLEY AVE STE 1900",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734451",
            "telephone_number": "904-276-7336",
            "fax_number": "904-276-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1887 KINGSLEY AVE STE 1900",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734451",
            "telephone_number": "904-276-7336",
            "fax_number": "904-276-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOROWITZ",
        "first_name": "MICHAEL",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2022-01-19",
        "certification_date": "2020-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "PA",
            "license": "MD043535L",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME140930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017519700003",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MICHAEL.HOROWITZ@hca5.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1887 Kingsley Ave Ste 1900",
            "city": "Orange Park",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320734451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.