Active NPI
James M Horrocks, MD
- Internal Medicine Physician
- Elkhorn, NE
National Provider Identifier
1407914054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 14095
- Practice address
- 4704 N 193Rd Avenue Cir
Elkhorn, NE 68022-5198 - Phone
- (402) 690-0012
- NPI assigned
- Dec 5, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 14095 | NE | Primary |
Addresses
Primary practice location
4704 N 193Rd Avenue Cir
Elkhorn, NE 68022-5198
Mailing address
4704 N 193Rd Avenue Cir
Elkhorn, NE 68022-5198
Phone (402) 690-0012
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39945 | Other | NE | BCBS NUMBER FOR LINCOLN |
| 21375 | Other | IA | IOWA LICENSE |
| 14095 | Other | NE | NEBRASKA LICENSE |
| 47067875414 | Medicaid | NE |
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 |
|---|---|---|---|
| 14095 | NE | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independent Medical Evaluation and Consultation PC | Internal Medicine | Past | Accepting new patients |
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.
-
- Internal Medicine Physician
- Elkhorn, NE
- NPI 1538227012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1407914054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4704 N 193RD AVENUE CIR",
"city": "ELKHORN",
"state": "NE",
"postal_code": "680225198",
"telephone_number": "402-690-0012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4704 N 193RD AVENUE CIR",
"city": "ELKHORN",
"state": "NE",
"postal_code": "680225198",
"telephone_number": "402-690-0012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORROCKS",
"first_name": "JAMES",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NE",
"license": "14095",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NUMBER FOR LINCOLN",
"identifier": "39945",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IOWA LICENSE",
"identifier": "21375",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEBRASKA LICENSE",
"identifier": "14095",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47067875414",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elkhorn, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.