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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207W00000X | Ophthalmology | 16242 | AZ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | BCBS | AZ 0721700 | 01 |
AZ | 290578 | 05 |
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 |
Street Address |
4212 N 16TH ST PHOENIX INDIAN MEDICAL CENTER |
City | PHOENIX |
State | AZ |
Zip Code | 85016-5319 |
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 |
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 Code | 207W00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Ophthalmology |
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. |
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 |
Please comment or provide details below to improve the information on MARK BLAKE HORTON.
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.