MARK BLAKE HORTON


Address: 4212 N 16th St, Phoenix Indian Medical Center, Phoenix, AZ 85016-5319
Phone: 6022631511

MARK BLAKE HORTON (NPI# 1376556985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376556985
Entity Type Individual
Full Name MARK BLAKE HORTON
Credential M.D.
Practice Address 4212 N 16th St
Phoenix Indian Medical Center
Phoenix
AZ 85016-5319
Mailing Address Po Box 31001-0698
Pasadena
CA 91110-0698
Practice Telephone 6022631511
Practice Fax Number 6022631619
Mailing Telephone 6022631511
Mailing Fax Number 6022631619
Enumeration Date 2006-08-14
Last Update Date 2007-07-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology 16242 AZ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AZ BCBS AZ 0721700 01
AZ 290578 05

Other Providers MARK HORTON

NPI Name Taxonomy Address Enumeration
1881743706 Mark Kendall Horton Specialist/Technologist, Other 2471 S Jasmine Pl, Suite 100, Denver, CO 80222-6229 2007-01-09
1699707026 Mark Marion Horton Family Medicine 92 Highway 72 West, Abbeville, SC 29620 2006-07-07
1982830725 Mark Adam Horton Anesthesiology 590 Court St, Keene, NH 03431-1719 2009-06-08
1902925811 Mark Daniel Horton Pharmacist 2910 Ashman St, Midland, MI 48640-4448 2007-03-29
1699794347 Mark A Horton Pediatrics 800 Prudential Dr, Jacksonville, FL 32207-8202 2006-07-19

Office Location

Street Address 4212 N 16TH ST
PHOENIX INDIAN MEDICAL CENTER
City PHOENIX
State AZ
Zip Code 85016-5319

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184627648 Judy Marie Pinsonneault Family Medicine 4212 N 16th St, Phoenix, AZ 85016-5319 2005-05-27
1568071348 Christopher Tran Pharmacist 4212 N 16th St, Phoenix, AZ 85016-5319 2020-07-28
1659980480 Corinne Easterling Pharmacist 4212 N 16th St, Phoenix, AZ 85016-5319 2020-07-28
1598383192 Tamika Howard Pharmacist 4212 N 16th St, Phoenix, AZ 85016-5319 2020-07-09
1659901544 Joseph Maloy Pharmacist 4212 N 16th St, Phoenix, AZ 85016-5319 2020-01-20
1437709680 Kymberly Sue Ludwig Pharmacist 4212 N 16th St, Phoenix, AZ 85016-5319 2019-09-18
1962052746 Jamie C Wilson Registered Nurse 4212 N 16th St, Phoenix, AZ 85016-5319 2019-09-13
1427602721 Jonathon Andrew Marquez Respiratory Therapist, Certified 4212 N 16th St, Phoenix, AZ 85016-5319 2019-07-25
1700441664 Douglas Edward Henry Physical Therapist 4212 N 16th St, Phoenix, AZ 85016-5319 2019-05-07
1982189205 Rachael Renina Hunter Edwards Psychologist 4212 N 16th St, Phoenix, AZ 85016-5319 2018-10-02
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851992705 Heatheranne Baker-oldfield Counselor 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 2020-11-06
1780215681 Sip Home Systems - Mesa LLC Home Health 24th At Camelback, 2375 E. Camelback Rd., Suite 600, Phoenix, AZ 85016 2020-01-29
1760945588 Wei Wei Student in an Organized Health Care Education/Training Program Phoenix Children's Hospital 1919 E. Thomas Rd., Phoenix, AZ 85016 2019-04-09
1942765623 Grace Hatfield Dietitian, Registered Phoenix Childrens Hospital 1919 E Thomas Rd, Phoenix, AZ 85016 2019-02-06
1861977027 Dawn Yvette Lima Occupational Therapy Assistant 3128 E Cheery Ln, Phoenix, AZ 85016 2018-10-03
1720583685 Kristin Pauline Hicklin Registered Nurse 2930 E Camelback Rd Ste 100, Phoenix, AZ 85016 2018-03-24
1588181622 Taness Eyre Billington Pharmacist 1625 E. Camelback Rd., Phoenix, AZ 85016 2017-08-29
1093239048 Emma Ross Psychologist 1919 E Thomas Rd Bldg 4th, Phoenix, AZ 85016 2017-08-01
1609396985 Mohammed Waseemuddin Student in an Organized Health Care Education/Training Program Phoenix Children's Hospital, 1919 E Thomas Rd, Phoenix, AZ 85016 2017-06-27
1144777632 Amanda Mazerall Occupational Therapist 4333 N 24th Street, Apartment 223, Phoenix, AZ 85016 2016-09-01
Find all providers in zip 85016

Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962881698 Nishi Madhusudan Shah Ophthalmology 3815 E Bell Rd Ste 2500, Phoenix, AZ 85032-2151 2015-05-27
1477984862 James Chipman Wootton Ophthalmology 6202 N 22nd St, Phoenix, AZ 85016-2003 2013-12-10
1518233592 Debora Elena Garcia-zalisnak Ophthalmology 8410 W Thomas Rd Ste 146, Phoenix, AZ 85037-3374 2012-03-23
1750677415 Matthew Heller Ophthalmology 515 W Buckeye Road, Suite 104, Phoenix, AZ 85003-3699 2011-06-21
1629224795 Ronald S Garlikov Ophthalmology 13225 N 14th St, Phoenix, AZ 85022-4918 2008-08-08
1952570194 Misha Faustina, M.d. PC Ophthalmology 1010emcdowellrd, #406, Phoenix, AZ 85006-2610 2008-02-21
1497971535 Robert E Fintelmann Ophthalmology 4400 N 32nd St Ste 280, Phoenix, AZ 85018-3978 2007-04-17
1013065770 Madhavi Kurli Ophthalmology 19820 N 7th St, Suite 120, Phoenix, AZ 85024-1689 2007-01-08
1457410623 Abc Children's Eye Specialists PC Ophthalmology 1010 E Mcdowell Rd Ste 301, Phoenix, AZ 85006 2006-12-06
1851496848 Graham Barth Kretchman Ophthalmology 1010 E Mcdowell, Suite 406, Phoenix, AZ 85006 2006-09-14
Find all providers in PHOENIX

Competitor

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City PHOENIX
Zip Code 85016

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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