Roger Clinton Horan, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

E-6094 Issued in AR

Practice address

4083 N Shiloh Dr Ste 9
Fayetteville, AR 72703-5201

Phone

(479) 439-1696

Fax

(479) 439-1998

NPI assigned

Jun 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Neurology

Education

Louisiana State University School of Medicine in New Orleans, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Elite Home Health Home health agency, Springdale, AR, CCN 047346
• Washington Regional Medical Center Hospital, Fayetteville, AR, CCN 040004
• Mercy Hospital Northwest Arkansas Hospital, Rogers, AR, CCN 040010

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AHCBDD/Endpoint/AHCBDD

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.

• Ozarks Neurology

  • Neurology Physician
  • Fayetteville, AR
  • NPI 1821788530
  Medicare reassignment NPD
• Washington Regional Medical System

  • Neurological Surgery Physician
  • Fayetteville, AR
  • NPI 1104097500
  Medicare reassignment NPD
• Washington Regional Medical System

  • Family Medicine Physician
  • Farmington, AR
  • NPI 1275839011
  NPD
• Kootenai Health, Inc.

  • Psychiatry Physician
  • Coeur D Alene, ID
  • NPI 1174661151
  NPD (past)
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• LHCG Xlii, LLC

  • Home Health Agency
  • Springdale, AR
  • NPI 1043557788
  Care Compare affiliation
• Mercy Hospital Rogers

  • General Acute Care Hospital
  • Rogers, AR
  • NPI 1316902414
  Care Compare affiliation
• Washington Regional Medical Center

  • General Acute Care Hospital
  • Fayetteville, AR
  • NPI 1083609150
  Care Compare affiliation

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1538101928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4083 N SHILOH DR STE 9",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035201",
            "telephone_number": "479-439-1696",
            "fax_number": "479-439-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4083 N SHILOH DR STE 9",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035201",
            "telephone_number": "479-439-1696",
            "fax_number": "479-439-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORAN",
        "first_name": "ROGER",
        "middle_name": "CLINTON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "ID",
            "license": "M8819",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AR",
            "license": "E-6094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178868001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dustin Hoover, M.D.
• Hope Career Center
• Hope Counseling Associates
• Hopebridge LLC
• Devin Alexandra Horan, OTR/L
• Lauren Horlick, LAC
• Amanda Horn
• Mary Jo Horn, O.D.
• Hannah Grace Hornbeck
• Horse-Play Pediatrics

• Neurology Physician in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Neurology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.