Active NPI
Emergency Medical Services Group, PA
- Medical Specialty Clinic/Center
- Fort Smith, AR
National Provider Identifier
1528029196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- Legal business name
- EMERGENCY MEDICAL SERVICES GROUP, PA
- Practice address
- 1001 Towson Ave
ER Dept.
Fort Smith, AR 72901-4921 - Phone
- (479) 441-5011
- Fax
- (405) 749-4561
- NPI assigned
- Mar 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Alan Horan, M.D.
- Title
- President
- Phone
- (479) 441-5011
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | Primary |
Addresses
Primary practice location
1001 Towson Ave
ER Dept.
Fort Smith, AR 72901-4921
Mailing address
4401 W Memorial Rd
Suite 121
Oklahoma City, OK 73134-1785
Phone (405) 751-4664
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100727020A | Medicaid | OK | |
| 172165800 | Other | AR | DEPT. OF LABOR |
| 105698002 | Medicaid | AR | |
| 04705239 | Medicaid | MS |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Emergency Medicine Physician
- Fort Smith, AR
- NPI 1114989530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214524800000",
"number": "1528029196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4401 W MEMORIAL RD",
"address_2": "SUITE 121",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731341785",
"telephone_number": "405-751-4664",
"fax_number": "405-749-4561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 TOWSON AVE",
"address_2": "ER DEPT.",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729014921",
"telephone_number": "479-441-5011",
"fax_number": "405-749-4561"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMERGENCY MEDICAL SERVICES GROUP, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-31",
"last_updated": "2008-06-27",
"status": "A",
"authorized_official_last_name": "HORAN",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "479-441-5011",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100727020A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT. OF LABOR",
"identifier": "172165800",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105698002",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04705239",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.