Individual provider Active NPI

Alexander Nathaniel Howell, DO

  • Dermatology Physician
  • Orange Park, FL
National Provider Identifier
1013545318
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
E-17706 Issued in AR
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

Updated by the provider on Jun 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240613004174 AR Practitioner - Dermatology 7517380785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hull Dermatology P.a.Group PAC ID 1759433881, 9 clinicians

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 100Reported as group
Quality
95
Promoting interoperability
96
Improvement activities
40
Cost
92.8

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision148
Removal of skin lesions1084
Removal of skin cancer1-10
Removal or shaving of skin growth134
Skin biopsy652

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
E-17706ARMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hull Dermatology P.a. CurrentSince Aug 5, 2024 Accepting new patients

Locations

597 S Horsebarn Rd
Rogers, AR 72758

500 S 52nd St
Rogers, AR 72758
Phone (479) 254-9662

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FCIBAA
  • FHIR API: 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.

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

Verify at the official NPI Registry.