Active NPI
Alexander Nathaniel Howell, DO
- Dermatology Physician
- Orange Park, FL
National Provider Identifier
1013545318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- E-17706
- Practice address
- 2001 Kingsley Ave
Orange Park, FL 32073-5148 - Phone
- (904) 639-2000
- NPI assigned
- Mar 31, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | E-17706 | AR | Primary |
Addresses
Primary practice location
2001 Kingsley Ave
Orange Park, FL 32073-5148
Mailing address
500 S 52ND St
Rogers, AR 72758-8600
Phone (479) 254-9662
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
500 S 52ND St
Rogers, AR 72758-8600
Phone (479) 254-9662
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 95
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 92.8
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 148 |
| Removal of skin lesions | 1084 |
| Removal of skin cancer | 1-10 |
| Removal or shaving of skin growth | 134 |
| Skin biopsy | 652 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-17706 | AR | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hull Dermatology P.a. | Current | Accepting new patients |
Locations
597 S Horsebarn Rd
Rogers, AR 72758
500 S 52nd St
Rogers, AR 72758
Phone (479) 254-9662
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FCIBAA
- https://fhir4.healow.com/fhir/r4/FCIBAA/Endpoint/FCIBAA
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Medical Specialty Clinic/Center
- Rogers, AR
- NPI 1407082464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718755200000",
"number": "1013545318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 S 52ND ST",
"city": "ROGERS",
"state": "AR",
"postal_code": "727588600",
"telephone_number": "479-254-9662",
"fax_number": "479-254-9652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 KINGSLEY AVE",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320735148",
"telephone_number": "904-639-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOWELL",
"first_name": "ALEXANDER",
"middle_name": "NATHANIEL",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-31",
"last_updated": "2024-06-19",
"certification_date": "2024-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "AR",
"license": "E-17706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.