DR. KELLY HORN (NPI# 1699730580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699730580 |
| Entity Type | Individual |
| Full Name | DR. KELLY HORN |
| Credential | DO |
| Practice Address |
90-04 161st Street 5th Floor Jamaica NY 11432-6103 |
| Mailing Address |
60 Madison Ave Fl 5 New York NY 10010-1600 |
| Practice Telephone | 7185232123 |
| Practice Fax Number | 7185235833 |
| Mailing Telephone | 2125452439 |
| Mailing Fax Number | 6463120481 |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2017-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 234578 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02674317 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932354057 | Kelly Leonard Horn | Massage Therapist | 12951 Bel Red Rd Ste 120, Bellevue, WA 98005-2628 | 2008-11-18 |
| 1144760455 | Kelly Horn | Speech-Language Pathologist | 2660 Common St, New Braunfels, TX 78130-3584 | 2017-03-06 |
| 1356718332 | Kelly Horn | Social Worker | 1120 Randall Ct, Geneva, IL 60134-3911 | 2015-08-26 |
| 1912393570 | Kelly Horn | Midwife | 1818 Carew St, Suite 300, Fort Wayne, IN 46805-4788 | 2015-04-10 |
| Street Address |
90-04 161ST STREET 5TH FLOOR |
| City | JAMAICA |
| State | NY |
| Zip Code | 11432-6103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346735388 | Sayuri No Mollie Friedland | Family Medicine | 90-04 161st Street, 5th Floor, Jamaica, NY 11432 | 2018-06-22 |
| 1598850679 | Denise Nicole James | Obstetrics & Gynecology | 90-04 161st Street, 5th Floor, Jamaica, NY 11432-6103 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396361259 | Banani Road 11 LLC | Pharmacy | 181-04 Hillside Ave, Jamaica, NY 11432 | 2020-06-17 |
| 1023633450 | Staphanie Anang | Licensed Practical Nurse | 30 Wexford Terrace Apt 3 Jj., Jamaica, NY 11432 | 2020-06-11 |
| 1205459476 | Jasmine Kaur Sandhu | Student in an Organized Health Care Education/Training Program | 87-68 164th St, N Building, 7th Floor, Rm N733, Jamaica, NY 11432 | 2020-05-22 |
| 1225650385 | Alli El-ijla | Student in an Organized Health Care Education/Training Program | Queens Hospital Center 82-68 164th Street, Jamaica, NY 11432 | 2020-05-12 |
| 1346869955 | Liane Zwetzich | Student in an Organized Health Care Education/Training Program | Queens Hospital Center, 82-68 164th Street, Jamaica, NY 11432 | 2020-04-14 |
| 1528697141 | Bahtiyar Toz | Student in an Organized Health Care Education/Training Program | 82-68 164th Street Queens Hospital Center, Jamaica, NY 11432 | 2020-04-06 |
| 1366089468 | Alisha Jnobaptiste | Counselor | 87-59 171 St., Jamaica, NY 11432 | 2019-12-08 |
| 1356995054 | Shawnette Natasha Brown | Counselor | 178-02/04 Jamaica Ave, Jamaica, NY 11432 | 2019-07-31 |
| 1518527142 | Magdalene Vidal | Case Manager/Care Coordinator | 177 30 Wexford Terrace, Suite A, Jamaica, NY 11432 | 2019-06-17 |
| 1811550338 | Rong Fan | Student in an Organized Health Care Education/Training Program | 88-68 164th St, Dept of Ob/gyn Rm B265, Jamaica, NY 11432 | 2019-04-19 |
| Find all providers in zip 11432 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467061143 | Atm Gouse Mohiuddin | Family Medicine | 8900 170th St, Jamaica, NY 11432-5341 | 2020-07-28 |
| 1891254272 | Bari Medical Pllc | Family Medicine | 17016 84th Dr, Jamaica, NY 11432-2109 | 2019-03-15 |
| 1235657925 | Mythily Ramanathan | Family Medicine | 8715 165th St Apt 2d, Jamaica, NY 11432-3513 | 2017-09-02 |
| 1720513427 | St. Sebastian Medical PC | Family Medicine | 16836 Jamaica Ave, Jamaica, NY 11432-5216 | 2017-05-01 |
| 1104161827 | Citywide Medical Care, PC | Family Medicine | 15325 Hillside Ave, Jamaica, NY 11432-3331 | 2012-12-06 |
| 1891926853 | Naznin Khan | Family Medicine | 118-11 Guy R Brewer Blvd, Jamaica, NY 11434-4006 | 2009-08-07 |
| 1457548745 | Pancare Medical PC | Family Medicine | 15915 Hillside Ave, Jamaica, NY 11432-3935 | 2007-10-01 |
| 1023174596 | Patricia Wong Hermogenes | Family Medicine | 13701 83rd Ave, 1b, Jamaica, NY 11435-1562 | 2006-12-29 |
| 1033298906 | Sophia Streete Smalls | Family Medicine | 11513a Merrick Blvd, Jamaica, NY 11434-1851 | 2006-11-03 |
| 1922186782 | Kaniz Fatema Begum | Family Medicine | 137-50 Jamaica Ave, Jamaica, NY 11435-3610 | 2006-11-01 |
| Find all providers in JAMAICA | ||||
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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.