Individual provider Active NPI

Chris Howell Horan, MD

  • Family Medicine Physician
  • Atkins, AR
National Provider Identifier
1891751541
Registry record updated Feb 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-2329 Issued in AR
Practice address
1601 N Church St
Atkins, AR 72823-3234
Phone
(479) 968-2345
Fax
(479) 641-1889
NPI assigned
Apr 21, 2006
Last updated
Feb 18, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2015

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 E-2329 AR Primary

Addresses

Primary practice location

1601 N Church St
Atkins, AR 72823-3234

Mailing address

1601 N Church St
Atkins, AR 72823-3234
Phone (479) 968-2345

Other identifiers 1

IdentifierTypeStateIssuer
138373001MedicaidAR

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040205000415 AR Practitioner - Family Practice 9830082627

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-2329ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ozark Dermatology Clinic PastSince Jul 16, 2001 Accepting new patients
Ameripath SC Inc Past Accepting new patients
St Marys Physician Services, LLC Past Accepting new patients

Organizations & group practices 3

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": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424217600000",
    "number": "1891751541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 N CHURCH ST",
            "city": "ATKINS",
            "state": "AR",
            "postal_code": "728233234",
            "telephone_number": "479-968-2345",
            "fax_number": "479-641-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 N CHURCH ST",
            "city": "ATKINS",
            "state": "AR",
            "postal_code": "728233234",
            "telephone_number": "479-968-2345",
            "fax_number": "479-641-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORAN",
        "first_name": "CHRIS",
        "middle_name": "HOWELL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2015-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-2329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138373001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atkins, AR

Sources for this page

Verify at the official NPI Registry.