Organization Active NPI

Vonda Gale Houchin, M.D. PA

  • Ambulatory Family Planning Facility
  • Harrisburg, AR
National Provider Identifier
1841597085
Registry record updated Dec 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Family Planning FacilityTaxonomy code 261QA0005X
License
C8123 Issued in AR
Legal business name
VONDA GALE HOUCHIN, M.D. PA
Practice address
802 N Illinois St
Harrisburg, AR 72432-1132
Phone
(870) 578-5446
Fax
(870) 578-9443
NPI assigned
Feb 24, 2011
Last updated
Dec 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2014

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

Authorized official

Name
Vonda G Houchin, M.D.NPI 1467448837
Title
MD/Docotor
Phone
(870) 578-5443

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)CodeLicenseStatePrimary
Ambulatory Family Planning Facility 261QA0005X C8123 AR Primary

Addresses

Primary practice location

802 N Illinois St
Harrisburg, AR 72432-1132

Mailing address

802 N Illinois St
Harrisburg, AR 72432-1132
Phone (870) 578-5443

Other identifiers 1

IdentifierTypeStateIssuer
55005OtherAPPLYING FOR A GROUP NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110317000291 AR Part B Supplier - Clinic/Group Practice 5991988685 Receives reassigned benefits from 2 practitioners
Practice locations: Harrisburg, AR

National Provider Directory

National Provider Directory

Locations

802 N Illinois St
Harrisburg, AR 72432
Phone (870) 578-5443

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419811200000",
    "number": "1841597085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 N ILLINOIS ST",
            "city": "HARRISBURG",
            "state": "AR",
            "postal_code": "724321132",
            "telephone_number": "870-578-5443",
            "fax_number": "870-578-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 N ILLINOIS ST",
            "city": "HARRISBURG",
            "state": "AR",
            "postal_code": "724321132",
            "telephone_number": "870-578-5446",
            "fax_number": "870-578-9443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VONDA GALE HOUCHIN, M.D. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-24",
        "last_updated": "2014-12-29",
        "status": "A",
        "authorized_official_last_name": "HOUCHIN",
        "authorized_official_first_name": "VONDA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MD/DOCOTOR",
        "authorized_official_telephone_number": "870-578-5443",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": "AR",
            "license": "C8123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APPLYING FOR A GROUP NPI",
            "identifier": "55005",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.