Kyle Leland Horner (NPI# 1528124195, PAC ID# 2062543192) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1528124195 |
| PAC ID by PECOS | 2062543192 |
| Professional Enrollment ID | I20110803000693 |
| Full Name | Kyle Leland Horner |
| Address |
2500 S Main Rd Lebanon OR 97355-2336 |
| Gender | M |
| Medical School | WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | DERMATOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 381323 | SAMARITAN LEBANON COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2500 S Main Rd, Lebanon, OR 97355-2336 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_265_overall | Biopsy Follow-Up | 100% |
| Street Address |
2500 S MAIN RD |
| City | LEBANON |
| State | OR |
| Zip | 97355-2336 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy A Springer | Clinical Social Worker | 1105 S Airport Rd, Lebanon, OR 97355-1211 | |
| Michael W Stoner | Optometry | 350 S, 8th, Lebanon, OR 97355-2242 | |
| Roger Munk | Optometry | Lifetime Vision Source of Lebanon LLC | 90 Market St, Suite 20, Lebanon, OR 97355-2396 |
| Dennis Pearson | Optometry | Lifetime Vision Source of Lebanon LLC | 90 Market St, Suite 20, Lebanon, OR 97355-2396 |
| Caitlin Squires | Optometry | Lifetime Vision Source of Lebanon LLC | 90 Market St, Suite 20, Lebanon, OR 97355-2396 |
| Laura E Sisson | Clinical Psychologist | Mid-valley Healthcare Inc | 100 Mullins Dr, Lebanon, OR 97355-2868 |
| Richard B Halbur | Physician Assistant | Mid-valley Healthcare Inc | 191 N Main St, Lebanon, OR 97355-2870 |
| Richard C Evans | Family Medicine | Mid-valley Healthcare Inc | 191 N Main St, Lebanon, OR 97355-2870 |
| Christopher M Wallis | Physician Assistant | Mid-valley Healthcare Inc | 191 N Main St, Lebanon, OR 97355-2870 |
| Robert T Park | Obstetrics/gynecology | Mid-valley Healthcare Inc | 675 N 5th St, Lebanon, OR 97355-2875 |
| Find all physicians in zip 97355 | |||
| City | LEBANON |
| Zip Code | 97355 |
| Specialty | DERMATOLOGY |
| City + Specialty | LEBANON + DERMATOLOGY |
Please comment or provide details below to improve the information on Kyle Leland Horner.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.