Active NPI
John A Hornback, D.O.
- Family Medicine Physician
- Tucson, AZ
National Provider Identifier
1891811618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 005099
- Practice address
- 8333 North Silverbell
Suite 161
Tucson, AZ 85743-7371 - Phone
- (520) 232-5280
- Fax
- (520) 232-5299
- NPI assigned
- Mar 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 94-06467 | KS | |
| Family Medicine Physician | 207Q00000X | 005099 | AZ | Primary |
Addresses
Primary practice location
8333 North Silverbell
Suite 161
Tucson, AZ 85743-7371
Mailing address
1509 NW 63Rd Ter
Kansas City, MO 64118-3093
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 361523 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 94-06467 | KS | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225929600000",
"number": "1891811618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1509 NW 63RD TER",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641183093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8333 NORTH SILVERBELL",
"address_2": "SUITE 161",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857437371",
"telephone_number": "520-232-5280",
"fax_number": "520-232-5299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORNBACK",
"first_name": "JOHN",
"middle_name": "A",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-22",
"last_updated": "2008-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "94-06467",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "005099",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "361523",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.