Individual provider Active NPI

Lon Randolph Horwitz, D.P.M.

  • Foot Surgery Podiatrist
  • Denver, CO
National Provider Identifier
1902881915
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
506 Issued in CO
Practice address
222 Milwaukee St
Suite 102
Denver, CO 80206-5008
Phone
(393) 393-6677
Fax
(303) 393-8637
NPI assigned
Dec 13, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 506 CO
Primary Podiatric Medicine Podiatrist 213EP1101X 506 CO
Foot Surgery Podiatrist 213ES0131X 506 CO Primary

Addresses

Primary practice location

222 Milwaukee St
Suite 102
Denver, CO 80206-5008

Mailing address

222 Milwaukee St
Suite 102
Denver, CO 80206-5008
Phone (393) 393-6677

Other identifiers 1

IdentifierTypeStateIssuer
01003573MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041026001109 CO Practitioner - Podiatry 0042271629 Practice locations: Denver, CO

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1660 S Albion St
Denver, CO 80222-4045
Phone (303) 393-6677

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
506COMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1902881915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 MILWAUKEE ST",
            "address_2": "SUITE 102",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802065008",
            "telephone_number": "393-393-6677",
            "fax_number": "303-393-8637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 MILWAUKEE ST",
            "address_2": "SUITE 102",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802065008",
            "telephone_number": "393-393-6677",
            "fax_number": "303-393-8637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORWITZ",
        "first_name": "LON",
        "middle_name": "RANDOLPH",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CO",
            "license": "506",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "CO",
            "license": "506",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CO",
            "license": "506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01003573",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.