Healthcare Provider Details

I. General information

NPI: 1053173047
Provider Name (Legal Business Name): SARAH HORTON PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/25/2024
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

802 N RIVERSIDE RD STE G50
SAINT JOSEPH MO
64507-2510
US

IV. Provider business mailing address

802 N RIVERSIDE RD STE G50
SAINT JOSEPH MO
64507-2510
US

V. Phone/Fax

Practice location:
  • Phone: 816-671-4888
  • Fax: 816-671-4890
Mailing address:
  • Phone: 816-671-4888
  • Fax: 816-671-4890

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number2025039983
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: