Individual provider Active NPI

Robert P Horodnic, DO

  • Family Medicine Physician
  • Wexford, PA
National Provider Identifier
1922014117
Registry record updated Jul 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS008374L Issued in PA
Practice address
103 N Meadows Dr
Suite 221
Wexford, PA 15090-8369
Phone
(724) 934-5040
Fax
(724) 934-5051
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS008374L PA Primary

Addresses

Primary practice location

103 N Meadows Dr
Suite 221
Wexford, PA 15090-8369

Mailing address

103 N Meadows Dr
Suite 220
Wexford, PA 15090-8369
Phone (724) 934-5040

Other identifiers 1

IdentifierTypeStateIssuer
0015470360001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040115000294 PA Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 4587565452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

103 N Meadow Dr
Suite 220
Wexford, PA 15090-8369
Phone (724) 934-5040

Hospital & facility affiliations

  • Upmc Passavant Hospital, Pittsburgh, PA, CCN 390107
  • Ahn Wexford Hospital Hospital, Wexford, PA, CCN 390334
  • Magee Womens Hospital of Upmc Health System Hospital, Pittsburgh, PA, CCN 390114

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Horodnic Family Medicine, LLC Family Medicine CurrentSince Jun 1, 2006 Accepting new patients
Upmc Passavant Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Pittsburgh Medical Associates, P.C. Past Accepting new patients

Locations

103 N Meadows Dr
Ste 220
Wexford, PA 15090
Phone (724) 934-5040

Organizations & group practices 4

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 5

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469750400000",
    "number": "1922014117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 N MEADOWS DR",
            "address_2": "SUITE 220",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150908369",
            "telephone_number": "724-934-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N MEADOWS DR",
            "address_2": "SUITE 221",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150908369",
            "telephone_number": "724-934-5040",
            "fax_number": "724-934-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORODNIC",
        "first_name": "ROBERT",
        "middle_name": "P",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2016-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS008374L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015470360001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

Verify at the official NPI Registry.