MEDICARE: JOHN A HORN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	35-071663	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841239431
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN A HORN M.D.

Provider Business Mailing Address
First Line	:	6024 HOOVER RD
Second Line	:	SUITE A
City	:	GROVE CITY
State	:	OH
Zip	:	43123-8133
Country	:	US
Telephone Number	:	614-875-8949
Fax Number	:	614-539-4610

Provider Business Practice Location Address
First Line	:	6024 HOOVER RD
Second Line	:	SUITE A
City	:	GROVE CITY
State	:	OH
Zip	:	43123-8133
Country	:	US
Telephone Number	:	614-875-8949
Fax Number	:	614-539-4610

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2006
Last Update Date	:	02/23/2022

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Directions to “ JOHN A HORN M.D.” Practice Location

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