Active NPI
Craig A. Horn, MD
- Pediatrics Physician
- Huber Heights, OH
National Provider Identifier
1942266697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35049754H
- Practice address
- 8638 Old Troy Pike
Huber Heights, OH 45424-1051 - Phone
- (937) 237-4945
- Fax
- (937) 237-4925
- NPI assigned
- Apr 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35049754H | OH | Primary |
Addresses
Primary practice location
8638 Old Troy Pike
Huber Heights, OH 45424-1051
Mailing address
25 Merchant Street
Suite 220
Cincinnati, OH 45246-3740
Phone (513) 533-6507
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0724710 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35049754H | OH | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Integrated Medical Assoc | Pediatrics | Past | Accepting new patients |
| Premier Integrated Medical Associates, LTD | Past | Accepting new patients | |
| Premier Integrated Medical Assoc LTD | Pediatrics | Past | Accepting new patients |
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.
-
- Pediatrics Physician
- Huber Heights, OH
- NPI 1356308662
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437696000000",
"number": "1942266697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 MERCHANT STREET",
"address_2": "SUITE 220",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452463740",
"telephone_number": "513-533-6507",
"fax_number": "513-645-9767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8638 OLD TROY PIKE",
"city": "HUBER HEIGHTS",
"state": "OH",
"postal_code": "454241051",
"telephone_number": "937-237-4945",
"fax_number": "937-237-4925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORN",
"first_name": "CRAIG",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-21",
"last_updated": "2015-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35049754H",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0724710",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Huber Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.