Basic Information
| Provider Information | |||||||||
| NPI: | 1336253293 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HORN | ||||||||
| FirstName: | FRANK | ||||||||
| MiddleName: | W | ||||||||
| NamePrefix: | MR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1001 EAST SECOND STREET | ||||||||
| Address2: | |||||||||
| City: | COUDERSPORT | ||||||||
| State: | PA | ||||||||
| PostalCode: | 169159762 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8142747407 | ||||||||
| FaxNumber: | 8142740807 | ||||||||
| Practice Location | |||||||||
| Address1: | 1001 EAST SECOND STREET | ||||||||
| Address2: | |||||||||
| City: | COUDERSPORT | ||||||||
| State: | PA | ||||||||
| PostalCode: | 169159762 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8142748750 | ||||||||
| FaxNumber: | 8142747970 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/18/2006 | ||||||||
| LastUpdateDate: | 06/09/2009 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | MD016695E | PA | Y | Allopathic & Osteopathic Physicians | Surgery | 2086S0129X | MD016695E | PA | N | Allopathic & Osteopathic Physicians | Surgery | Vascular Surgery | 208G00000X | MD016695E | PA | N | Allopathic & Osteopathic Physicians | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
ID Information
| ID | Type | State | Issuer | Description | 0006975490001 | 05 | PA | MEDICAID | 98225 | 01 | PA | BLUE SHIELD | OTHER | 02308000 | 01 | PA | BLUE CROSS | OTHER |