Jill Van Horn DO a Professional Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A8528 Issued in CA

Legal business name

JILL VAN HORN DO A PROFESSIONAL CORPORATION

Practice address

2203 W Lampasas St
Suite 211
Ennis, TX 75119-5644

Phone

(972) 875-3997

Fax

(972) 875-2545

NPI assigned

Mar 23, 2010

Organization subpart

No

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

Authorized official

Name

Jill Elaine Van Horn, D.O.

Title

President

Phone

(972) 875-3997

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heidi A Herold, MD

  • Family Medicine Physician
  • Coeur D Alene, ID
  • NPI 1043322217
  NPD (past)
• Richard J Mooney, MD

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Oklahoma City, OK
  • NPI 1700981685
  NPD (past)

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355875200000",
    "number": "1346564135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2203 W LAMPASAS ST",
            "address_2": "SUITE 211",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751195644",
            "telephone_number": "972-875-3997",
            "fax_number": "972-875-3997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 W LAMPASAS ST",
            "address_2": "SUITE 211",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751195644",
            "telephone_number": "972-875-3997",
            "fax_number": "972-875-2545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILL VAN HORN DO A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-23",
        "last_updated": "2012-12-19",
        "status": "A",
        "authorized_official_last_name": "VAN HORN",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-875-3997",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A8528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATION NUMBER",
            "identifier": "3267967",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Denise Jackson, LPC
• Ajaykumar R Jadeja, RPH
• Janie E. Roberson MD PA Dba North Texas Children'S Clinic
• Basem Jassin, M.D.
• Jerry Northcutt, PLLC
• Larry A Jinks, MD
• Sanil Mathew John
• Margarita Rosendo Johnston, MD
• Edward Jason Jones, MSN, APRN, FNP-C
• Jose Salguero MD PA

• Family Medicine Physician in Ennis, TX
• Providers in Ennis, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.