Individual provider Active NPI

Mark Horrocks, M.D.

  • Family Medicine Physician
  • Pocatello, ID
National Provider Identifier
1700885258
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M7959 Issued in ID
Practice address
845 W Center St
Suite 200
Pocatello, ID 83204-4205
Phone
(208) 232-6260
Fax
(208) 232-6259
NPI assigned
Jul 18, 2005
Last updated
Feb 27, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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 M7959 ID Primary

Addresses

Primary practice location

845 W Center St
Suite 200
Pocatello, ID 83204-4205

Mailing address

PO Box 2377
Pocatello, ID 83206-2377
Phone (208) 232-7862

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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

Enrollment IDStateProvider typePAC IDDetails
I20070920000296 ID Practitioner - Family PracticePractitioner - General Practice 2961596069 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M7959IDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health West, Inc. Current Accepting new patients
Health West, Inc. Family Medicine CurrentSince Nov 1, 2002 Accepting new patients
Health West, Inc. Family Medicine Current Accepting new patients
Health West, Inc. Family Medicine Current Accepting new patients
Health West, Inc. Family Medicine Current Accepting new patients
Health West, Inc. CurrentSince Oct 31, 2002 Accepting new patients
Health West, Inc. Past Accepting new patients
Health West, Inc. Family Medicine Past Accepting new patients
Health West, Inc. Past Accepting new patients
Health West, Inc. Past Accepting new patients
Health West, Inc. Family Medicine Past Accepting new patients
Health West, Inc. Family Medicine Past Accepting new patients

Locations

823 Reed St
American Falls, ID 83211
Phone (208) 226-2822

204 Center St
McCammon, ID 83250
Phone (208) 254-9326

152 S 4th St
Montpelier, ID 83254
Phone (208) 847-2108

1000 N 8th Ave
Pocatello, ID 83201
Phone (208) 232-3368

1001 N 7th Ave
Ste 135
Pocatello, ID 83201
Phone (208) 234-2489

465 Memorial Dr
Pocatello, ID 83201
Phone (208) 234-4700

500 S 11th Ave
Ste 204
Pocatello, ID 83201
Phone (208) 232-1443

845 W Center St
Ste 200
Pocatello, ID 83204
Phone (208) 232-6260

880 W Quinn Rd
Pocatello, ID 83202
Phone (208) 238-2000

655 S 4th E
Ste 600
Preston, ID 83263
Phone 20823278621122

Interoperability endpoints

  • Direct secure messaging: mark.horrocks.1@16258.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 23

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Health West DowneyDowney, ID, CCN 131815 Federally qualified health center Corporate Officer
W-2 Managing Employee
Oct 31, 2002
Oct 31, 2002
Health West PocatelloPocatello, ID, CCN 131819 Federally qualified health center Corporate Officer
W-2 Managing Employee
Oct 31, 2002
Oct 31, 2002
Health West AberdeenAberdeen, ID, CCN 131800 Federally qualified health center Corporate Officer
W-2 Managing Employee
Oct 31, 2002
Oct 31, 2002
Health West LavaLava Hot Springs, ID, CCN 131801 Federally qualified health center Corporate Officer
W-2 Managing Employee
Oct 31, 2002
Oct 31, 2002
Health West American FallsAmerican Falls, ID, CCN 131802 Federally qualified health center Corporate Officer
W-2 Managing Employee
Oct 31, 2002
Oct 31, 2002
Health West Family Medicine ClinicPocatello, ID, CCN 131846 Federally qualified health center Corporate Officer
W-2 Managing Employee
Oct 31, 2002
Oct 31, 2002
Health West IncChubbuck, ID, CCN 131852 Federally qualified health center Corporate Officer
W-2 Managing Employee
Oct 31, 2002
Oct 31, 2002
Health West IncPreston, ID, CCN 131865 Federally qualified health center Corporate Officer Oct 31, 2002
Health West Pediatrics and OB/GYNPocatello, ID, CCN 131880 Federally qualified health center Corporate Officer
W-2 Managing Employee
Oct 31, 2002
Oct 31, 2002
Health West IncPocatello, ID, CCN 131882 Federally qualified health center Corporate Officer Oct 31, 2002
Health West City CenterPocatello, ID, CCN 131884 Federally qualified health center Corporate Officer Oct 31, 2022
Jefferson Elementary SchoolPocatello, ID, CCN 131886 Federally qualified health center Corporate Officer Jul 15, 2020
Indian Hills ElementaryPocatello, ID, CCN 131887 Federally qualified health center Corporate Officer Jul 15, 2020
Health West IncPocatello, ID, CCN 131893 Federally qualified health center Corporate Director Oct 31, 2002
Health West EvanstonEvanston, WY, CCN 531000 Federally qualified health center Corporate Officer Oct 30, 2002
Health West MontpelierMontpelier, ID, CCN 131042 Federally qualified health center Corporate Officer Oct 30, 2002
Health West Garden CityGarden City, UT, CCN 461001 Federally qualified health center Corporate Officer Oct 30, 2002
Health West Brigham CityBrigham City, UT, CCN 461002 Federally qualified health center Corporate Officer Oct 30, 2002
Health West Rock SpringsRock Springs, WY, CCN 531001 Federally qualified health center Corporate Officer Oct 30, 2002
Health West North LoganNorth Logan, UT, CCN 461004 Federally qualified health center Corporate Officer Oct 30, 2002
Health West ProvidenceProvidence, UT, CCN 461006 Federally qualified health center Corporate Officer Oct 30, 2002
Alameda Middle SchoolPocatello, ID, CCN 131053 Federally qualified health center Corporate Officer Oct 30, 2002
Syringa Elementary SchoolPocatello, ID, CCN 131054 Federally qualified health center Corporate Officer Oct 30, 2002

Owned or controlled facilities with NPI records 23

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 23

Organizations & group practices 12

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": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204070400000",
    "number": "1700885258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2377",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832062377",
            "telephone_number": "208-232-7862",
            "fax_number": "208-232-7869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 W CENTER ST",
            "address_2": "SUITE 200",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832044205",
            "telephone_number": "208-232-6260",
            "fax_number": "208-232-6259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORROCKS",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2008-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M7959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

Verify at the official NPI Registry.