Healthcare Provider Details

I. General information

NPI: 1982699922
Provider Name (Legal Business Name): MICHAEL HORN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2005
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

251 E ANTIETAM ST
HAGERSTOWN MD
21740
US

IV. Provider business mailing address

500 STONINGTON RD
SILVER SPRING MD
20902-1546
US

V. Phone/Fax

Practice location:
  • Phone: 301-790-8501
  • Fax:
Mailing address:
  • Phone: 301-523-1284
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number2026039196
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number153106
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberD50153
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: