Individual provider Active NPI

Christine A Horchak, P.A.-C

  • Medical Physician Assistant
  • Dubuque, IA
National Provider Identifier
1508811894
Registry record updated Feb 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
002287 Issued in IA
Practice address
1500 Delhi St Ste 4300
Suite 4300
Dubuque, IA 52001-6319
Phone
(563) 557-5971
Fax
(563) 557-5973
NPI assigned
May 24, 2006
Last updated
Feb 8, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1469 AZ
Medical Physician Assistant 363AM0700X 002287 IA Primary

Addresses

Primary practice location

1500 Delhi St Ste 4300
Suite 4300
Dubuque, IA 52001-6319

Mailing address

1500 Delhi St Ste 4300
Suite 4300
Dubuque, IA 52001-6319
Phone (563) 557-5971

Other identifiers 1

IdentifierTypeStateIssuer
832601MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130426000467 IA Practitioner - Physician Assistant 1951291228 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
002287IAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Finley Hospital CurrentSince Mar 12, 2013 Accepting new patients
The Finley Hospital CurrentSince Mar 12, 2013 Accepting new patients

Locations

1500 Delhi St
Ste 4300
Dubuque, IA 52001
Phone (563) 557-5971

8101 Birchwood Ct
Unit R
Urbandale, IA 50131
Phone (515) 471-9363

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360281600000",
    "number": "1508811894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 DELHI ST STE 4300",
            "address_2": "SUITE 4300",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520016319",
            "telephone_number": "563-557-5971",
            "fax_number": "563-557-5973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 DELHI ST STE 4300",
            "address_2": "SUITE 4300",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520016319",
            "telephone_number": "563-557-5971",
            "fax_number": "563-557-5973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORCHAK",
        "first_name": "CHRISTINE",
        "middle_name": "A",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2013-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "1469",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IA",
            "license": "002287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "832601",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

Verify at the official NPI Registry.