Active NPI
Robert G Hornbeck, M.D.
- Pediatrics Physician
- Jonesboro, AR
National Provider Identifier
1407858905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- E-1417
- Practice address
- 2816 Fox Meadow LN
Jonesboro, AR 72404 - Phone
- (870) 336-1676
- Fax
- (870) 336-1679
- NPI assigned
- Aug 15, 2005
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | E-1417 | AR | Primary |
Addresses
Primary practice location
2816 Fox Meadow LN
Jonesboro, AR 72404
Mailing address
PO Box 497
Augusta, AR 72006-0497
Phone (870) 347-2534
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5K477 | Other | AR | BLUE CROSS NUMBER |
| 166950000-00 | Other | AR | QUALCHOICE NUMBER |
| 131532001 | Medicaid | AR |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-1417 | AR | MD | Pediatrics Physician |
Interoperability endpoints
- robert.hornbeck@arcare.directbygreenway.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529020800000",
"number": "1407858905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 497",
"city": "AUGUSTA",
"state": "AR",
"postal_code": "720060497",
"telephone_number": "870-347-2534",
"fax_number": "870-347-3492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2816 FOX MEADOW LN",
"city": "JONESBORO",
"state": "AR",
"postal_code": "72404",
"telephone_number": "870-336-1676",
"fax_number": "870-336-1679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORNBECK",
"first_name": "ROBERT",
"middle_name": "G",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-15",
"last_updated": "2018-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AR",
"license": "E-1417",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS NUMBER",
"identifier": "5K477",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUALCHOICE NUMBER",
"identifier": "166950000-00",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "131532001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.