MR. KYLE LELAND HORNER (NPI# 1528124195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528124195 |
Entity Type | Individual |
Full Name | MR. KYLE LELAND HORNER |
Credential | M.D. |
Practice Address |
2500 S. Main Road Lebanon OR 97355 |
Practice Telephone | 5412587546 |
Practice Fax Number | 5415701744 |
Mailing Telephone | 5412587546 |
Mailing Fax Number | 5415701744 |
Enumeration Date | 2006-12-28 |
Last Update Date | 2016-04-19 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207N00000X | Dermatology | MD153145 | OR | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 500633817 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295903342 | Kyle D Horner | Physician Assistant | 2800 Blue Ridge Rd Ste 400, Raleigh, NC 27607-6477 | 2008-02-12 |
Street Address |
2500 S. MAIN ROAD |
City | LEBANON |
State | OR |
Zip Code | 97355 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710516182 | Patricia Hoangphuong Nguyen | Student in an Organized Health Care Education/Training Program | Western University of Health Sciences Comp-northwest, 200 Mullins Drive, Lebanon, OR 97355 | 2020-04-07 |
1528609740 | Liana Beaty | Technician | 31231 Mccraven Ln, Lebanon, OR 97355 | 2019-09-30 |
1710465323 | Jackie Welter | Health Educator | 35 Mullins Drvie Ste 3, Lebanon, OR 97355 | 2018-08-06 |
1518415371 | Kathleen Hillary | Registered Nurse | 525 North Santiam Highway, Lebanon, OR 97355 | 2016-09-21 |
1861849283 | Emily Marshall | Student in an Organized Health Care Education/Training Program | 200 Mullins Drive, Lebanon, OR 97355 | 2016-05-16 |
1033565551 | Celeste Maxine Croy-baker | Student in an Organized Health Care Education/Training Program | 200 Mullins Dr., Lebanon, OR 97355 | 2016-05-13 |
1770956963 | Jeff Parsons | Occupational Therapist | 600 Ne 5th St, Oregon Veterans Home, Lebanon, OR 97355 | 2015-11-10 |
1003289588 | Hong Ngoc Nguyen | Pharmacist | 675 N Fifth Street, Lebanon, OR 97355 | 2015-11-05 |
1801278049 | Darrel A Decker | Skilled Nursing Facility | 350 8th Street, Lebanon, OR 97355 | 2015-06-24 |
1679985113 | State of Oregon Department of Veterans' Affairs | Skilled Nursing Facility | 600 N. 5th Street, Lebanon, OR 97355 | 2014-06-02 |
Find all providers in zip 97355 |
Taxonomy Code | 207N00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861555419 | Charles A. Mitchell | Dermatology | 206 Babb Dr # B, Lebanon, TN 37087-2508 | 2006-12-18 |
1205897840 | Judy Y Hu | Dermatology | 1405 Baddour Pkwy, Suite 101, Lebanon, TN 37087-2595 | 2006-03-31 |
1598745747 | Daniel G Zavadak | Dermatology | 923 Russell Dr, Lebanon, PA 17042-7487 | 2006-01-21 |
1063409845 | Charles Austin Mitchell Jr. | Dermatology | 206b Babb Dr, Lebanon, TN 37087-2508 | 2005-10-05 |
1952301301 | Georgia A Tuttle | Dermatology | 129 Mechanic St, Lebanon, NH 03766-1522 | 2005-07-28 |
1285103689 | Jessica A Barron | Dermatology | 107 Glidepath Way, Lebanon, TN 37090 | 2018-11-15 |
1013379262 | Brian Simmons | Dermatology | 18 Old Etna Rd, Lebanon, NH 03766-1937 | 2016-03-27 |
1538546957 | Carsten Robert Hamann | Dermatology | 1 Medical Dr Dept Of, Lebanon, NH 03756-1000 | 2015-05-05 |
1295155232 | Emily E Shaughnessy | Dermatology | 18 Old Etna Rd, Dermatology, Lebanon, NH 03766 | 2014-04-17 |
1295172054 | Matthew Robert Leboeuf | Dermatology | 18 Old Etna Rd, Lebanon, NH 03766 | 2013-06-03 |
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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.