MR. TIMOTHY JAMES HORNYAK PA-C, NPI 1851384473 — NASHVILLE (TN)

NPI 1851384473

14+ Years Experience Individual

MR. TIMOTHY JAMES HORNYAK PA-C

08/30/2005
PROVIDER ENUMERATION DATE
10/16/2012
LAST UPDATE DATE
1851384473
NPI NUMBER

About MR. TIMOTHY JAMES HORNYAK

Sole proprietor? No, Entity Type 1 Provider (Individual) is not a Sole Proprietor.

MR. TIMOTHY JAMES HORNYAK is a provider established in NASHVILLE, TN. The NPI number of MR. TIMOTHY JAMES HORNYAK is 1851384473 and was assigned on 08/30/2005. The practitioners primary taxonomy code is: 363AS0400X with license number: MA053826 PA .

Mailing address

  • City: FRANKLIN
  • State: TN
  • Postal code: 370645208
  • Phone: 6158071497
  • Address: 2389 HENPECK LN

Primary Practice Address

  • Region : NASHVILLE, TN
  • NPI : 1851384473
  • Phone : 6158737620
  • Postalcode : 372122637
  • Address : 1310 24TH AVE S

Provider taxonomy - Physician Assistant

  • Taxonomy code: 363AS0400X
  • License number: MA053826
  • License state: PA

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Contacts:

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  • MR. TIMOTHY JAMES HORNYAK PA-C
  • Address : 1310 24TH AVE S
  • Region : NASHVILLE, TN
  • NPI : 1851384473
  • Phone : 6158737620
  • Postalcode : 372122637

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address1310 24TH AVE S
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameNASHVILLE
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameTN
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code372122637
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number6158737620
The telephone number associated with the location address of the provider being identified.
NPI1851384473
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1363AS0400X
Provider Enumeration Date08/30/2005
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated10/16/2012
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)MR. TIMOTHY JAMES HORNYAK
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address2389 HENPECK LN
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City NameFRANKLIN
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameTN
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code370645208
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number6158071497
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Healthcare Provider Taxonomy Code #1363AS0400X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Physician Assistant
Provider License Number 1MA053826
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 1PA
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Provider Gender CodeM
  • M - male
  • F - female
Is sole proprietorN
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

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