Active NPI
Jeffrey Horgan, ATC
- Athletic Trainer
- Lamar, CO
National Provider Identifier
1386911873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 948
- Practice address
- 2401 S Main St
Lamar, CO 81052 - Phone
- (720) 363-9195
- NPI assigned
- Nov 28, 2011
- Last updated
- Nov 28, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 948 | CO | Primary |
Addresses
Primary practice location
2401 S Main St
Lamar, CO 81052
Mailing address
1812 S. 9TH St #1
Lamar, CO 81052
Phone (720) 363-9195
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 948 | CO | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322438400000",
"number": "1386911873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1812 S. 9TH ST #1",
"city": "LAMAR",
"state": "CO",
"postal_code": "81052",
"telephone_number": "720-363-9195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 S MAIN ST",
"city": "LAMAR",
"state": "CO",
"postal_code": "81052",
"telephone_number": "720-363-9195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORGAN",
"first_name": "JEFFREY",
"name_prefix": "Mr.",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-11-28",
"last_updated": "2011-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "CO",
"license": "948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lamar, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.