Provider Demographics
NPI:1396854303
Name:HORTON, GREG A (MD)
Entity Type:Individual
Prefix:
First Name:GREG
Middle Name:A
Last Name:HORTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3901 RAINBOW BLVD
Mailing Address - Street 2:MS 3017
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66103-2937
Mailing Address - Country:US
Mailing Address - Phone:913-588-6100
Mailing Address - Fax:913-588-8186
Practice Address - Street 1:3901 RAINBOW BLVD
Practice Address - Street 2:ORTHOPEDIC SURGERY, MS 3017
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160
Practice Address - Country:US
Practice Address - Phone:913-588-6100
Practice Address - Fax:913-588-8186
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2011-06-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KS04-23876207X00000X, 207XX0004X, 207XX0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0004XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryFoot and Ankle Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Trauma
Provider Identifiers
StateIdentifier IDID TypeIssuer
200023632OtherRAILROAD MEDICARE
KS100173860AMedicaid
MO207920604Medicaid
KS626100OtherFIRSTGUARD
MO21962042OtherBCBS
MO207920604Medicaid
KS100173860AMedicaid