Active NPI
Terry Myron Horbal, M.D.
- Addiction Medicine (Anesthesiology) Physician
- Shelton, CT
National Provider Identifier
1962646067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Anesthesiology) Physician
- License
- CT033304
- Practice address
- 555 Bridgeport Ave FL 2
Shelton, CT 06484-4749 - Phone
- (203) 913-9193
- NPI assigned
- Apr 21, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Anesthesiology) Physician | 207LA0401X | CT033304 | CT | Primary |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | CT033304 | CT | |
| Anesthesiology Physician | 207L00000X | 033304 | CT |
Addresses
Primary practice location
555 Bridgeport Ave FL 2
Shelton, CT 06484-4749
Mailing address
69 Philip Dr
Shelton, CT 06484-5132
Phone (203) 913-9193
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1234567789 | Other | CT | NA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 033304 | CT | MD | Anesthesiology Physician |
| CT033304 | CT | MD | Addiction Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilton Anesthesia Associates, LLC | Past | Accepting new patients | |
| Griffin Anesthesia Associates PC | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Certified Registered Nurse Anesthetist
- Bloomfield, CT
- NPI 1588696173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377734400000",
"number": "1962646067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69 PHILIP DR",
"city": "SHELTON",
"state": "CT",
"postal_code": "064845132",
"telephone_number": "203-913-9193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 BRIDGEPORT AVE FL 2",
"city": "SHELTON",
"state": "CT",
"postal_code": "064844749",
"telephone_number": "203-913-9193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORBAL",
"first_name": "TERRY",
"middle_name": "MYRON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-04-21",
"last_updated": "2013-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "207LA0401X",
"taxonomy_group": "",
"desc": "Anesthesiology, Addiction Medicine",
"state": "CT",
"license": "CT033304",
"primary": true
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "CT",
"license": "CT033304",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CT",
"license": "033304",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NA",
"identifier": "1234567789",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shelton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.