Maureen E Horan, PA-C

Individual provider Active NPI Physician Assistant · Lansing, KS

NPI 1770902199 · NPPES record last updated Apr 14, 2014

Key facts

NPI
1770902199
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
15-01681 (KS)
Practice address
1004 Progress Dr
Lansing, KS 66043-6326
Phone
(913) 651-3111
NPI assigned
Apr 14, 2014
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1858NEMDOccupational Therapist
15-01681KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Amberwell Atchison Association Past Accepting new patients
Prime Healthcare Physician Services - Providence Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 15-01681 KS Yes

Addresses

Primary practice location

1004 Progress Dr
Lansing, KS 66043-6326

Mailing address

1004 Progress Dr
Lansing, KS 66043-6326
Phone (913) 651-3111

Other providers in Lansing, KS

All providers in Lansing, KS · Physician Assistant in Kansas

Sources for this page

Verify at the official NPI Registry.