Individual provider Active NPI

Honey Schaumburg, PA-C

  • Physician Assistant
  • Fort Smith, AR
National Provider Identifier
1912279290
Registry record updated Aug 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
5921 Riley Park Dr
Fort Smith, AR 72916-6103
Phone
(479) 649-3376
NPI assigned
Feb 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

5921 Riley Park Dr
Fort Smith, AR 72916-6103

Mailing address

5921 Riley Park Dr
Fort Smith, AR 72916-6103

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120731000763 AR Practitioner - Physician Assistant 9234395575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Oklahoma College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Johnson Dermatology Clinic PLLCGroup PAC ID 4789688615, 11 clinicians

Practice addresses (Care Compare)

5921 Riley Park Dr
Fort Smith, AR 72916-6103
Phone (479) 649-3376

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.81 of 100Reported as group
Quality
82.93
Improvement activities
40
Cost
72.14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503360000000",
    "number": "1912279290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5921 RILEY PARK DR",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729166103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5921 RILEY PARK DR",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729166103",
            "telephone_number": "479-649-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAUMBURG",
        "first_name": "HONEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-02",
        "last_updated": "2017-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.