Horizon Medical Care. LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

200200823 Issued in MO

Legal business name

HORIZON MEDICAL CARE. LLC

Practice address

930 Kingscove CT
Chesterfield, MO 63017-8350

Phone

(314) 289-6636

Fax

(636) 778-9068

NPI assigned

Jan 14, 2008

Last updated

Mar 21, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Fedwa S Khalifa, M.D.NPI 1265545511

Title

Owner

Phone

(314) 837-3720

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Fedwa Khalifa, M.D.

  • Family Medicine Physician
  • Chesterfield, MO
  • NPI 1265545511
  Authorized official Same address or phone
• Cheryl L. Richard, APRN-BC

  • Adult Health Nurse Practitioner
  • Saint Louis, MO
  • NPI 1275708521
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1063698652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6524",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630066524",
            "telephone_number": "314-432-2580",
            "fax_number": "314-432-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 KINGSCOVE CT",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630178350",
            "telephone_number": "314-289-6636",
            "fax_number": "636-778-9068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON MEDICAL CARE. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-14",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "KHALIFA",
        "authorized_official_first_name": "FEDWA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-837-3720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "200200823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hope Springs Psychiatry
• Dana Hope, LMSW
• Amanda Catherine Hopen
• Thomas Horn Jr., D.O.
• William Edward Houck, M.D.
• Stacie Houston, SLP
• Cassie L. Howard, FNP
• Sydnie Hoyt

• Internal Medicine Physician in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.