NPIMap

Individual provider Active NPI

John FX Horan, DO

  • Family Medicine Physician
  • Warwick, RI
National Provider Identifier
1679567531
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO00320 Issued in RI
Practice address
501 Centerville Rd
Warwick, RI 02886-4347
Phone
(401) 606-2680
NPI assigned
Sep 7, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO00320 RI Primary

Addresses

Primary practice location

501 Centerville Rd
Warwick, RI 02886-4347

Mailing address

1592 Broad St
Cranston, RI 02905-4130
Phone (401) 467-3350

Other practice location 1

1592 Broad St
Cranston, RI 02905-4130
Phone (401) 467-3350

Other identifiers 4

IdentifierTypeStateIssuer
3061-4OtherRIBLUE CROSS
7001943MedicaidRI
001058OtherRIBLUECHIP
01-00146OtherRIUNITED HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101222000223 RI Practitioner - Family Practice 1557499316 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Coastal Medical Physicians IncGroup PAC ID 0345658316, 222 clinicians

Practice addresses (Care Compare)

501 Centerville Rd
Suite 101
Warwick, RI 02886-4347
Phone (401) 606-2680

Hospital & facility affiliations

  • Elara Caring Home health agency, Warwick, RI, CCN 417035
  • Amedisys Home Health Care Home health agency, Warwick, RI, CCN 417036
  • Vna of Care New England Home health agency, Warwick, RI, CCN 417006
  • Hopehealth Hospice & Palliative Care Hospice, Providence, RI, CCN 411500
  • The Miriam Hospital Hospital, Providence, RI, CCN 410012
  • South County Hospital Inc Hospital, Wakefield, RI, CCN 410008
  • Kent County Memorial Hospital Hospital, Warwick, RI, CCN 410009
  • Rhode Island Hospital Hospital, Providence, RI, CCN 410007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO00320RIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Medical Physicians, Inc. CurrentSince Feb 1, 2024 Accepting new patients
Coastal Medical Physicians, Inc. Family Medicine CurrentSince Feb 1, 2024 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince May 1, 2022 Accepting new patients
Prospect Chartercare Physicians, LLC Family Medicine CurrentSince Feb 20, 2016 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince May 1, 2022 Accepting new patients
Lifespan Corporation Current Accepting new patients
Coastal Medical, Inc. Past Accepting new patients
Lifespan Physician Group, Inc. PastSince Mar 13, 2022 Accepting new patients

Locations

1681 Cranston St
Cranston, RI 02920
Phone (401) 944-6889

6 Wanton Shippee Rd
East Greenwich, RI 02818
Phone (401) 884-2476

900 Warren Ave
Ste 401
East Providence, RI 02914
Phone (401) 330-2480

185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050

825 Chalkstone Ave
Providence, RI 02908
Phone (401) 456-2000

501 Centerville Rd
Warwick, RI 02886
Phone (401) 606-2680

501 Centerville Rd
Ste 101
Warwick, RI 02886
Phone (401) 606-2680

Interoperability endpoints

  • Direct secure messaging: jhoran205536@brownhealth.medalliesdirect.net

Organizations & group practices 8

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.

Hospital & facility affiliations 12

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

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1679567531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1592 BROAD ST",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029054130",
            "telephone_number": "401-467-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 CENTERVILLE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864347",
            "telephone_number": "401-606-2680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1592 Broad St",
            "address_purpose": "LOCATION",
            "city": "Cranston",
            "state": "RI",
            "postal_code": "029054130",
            "country_code": "US",
            "telephone_number": "401-467-3350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORAN",
        "first_name": "JOHN",
        "middle_name": "FX",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "RI",
            "license": "DO00320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "3061-4",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7001943",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECHIP",
            "identifier": "001058",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH",
            "identifier": "01-00146",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.