Individual provider Active NPI

Patricia Horton

  • Physician Assistant
  • Caney, KS
National Provider Identifier
1912336108
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
T03790 Issued in KS
Practice address
218 W 4TH Ave
Caney, KS 67333-1462
Phone
(620) 879-2182
Fax
(620) 879-2246
NPI assigned
Nov 7, 2013
Last updated
Jan 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2019

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 T03790 KS Primary

Addresses

Primary practice location

218 W 4TH Ave
Caney, KS 67333-1462

Mailing address

218 W 4TH Ave
Caney, KS 67333-1462
Phone (620) 879-2182

Other identifiers 1

IdentifierTypeStateIssuer
201087310AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140206000288 KS Practitioner - Physician Assistant 3779712195 Reassigns benefits to 3 organizations
I20160104000641 OK Practitioner - Physician Assistant 3779712195 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. John Physicians, Inc.Group PAC ID 2567366495, 262 clinicians

Practice addresses (Care Compare)

218 W 4TH Ave
Caney, KS 67333-1462
Phone (620) 879-2182

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2407OKMDOptometrist
T03790KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. John Physicians, Inc. CurrentSince Oct 13, 2015 Accepting new patients
William Newton Memorial Hospital CurrentSince Nov 2, 2013 Accepting new patients
James M McDermott DO Past Accepting new patients

Locations

218 W 4th Ave
Caney, KS 67333
Phone (620) 879-2182

218 W 4th Ave
Ofc
Caney, KS 67333
Phone (620) 251-5000

1505 W 11th St
Ste C
Coffeyville, KS 67337
Phone (620) 251-5400

1300 E 5th Ave
Winfield, KS 67156
Phone (620) 221-2300

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

1717 S Utica Ave
Ste A
Tulsa, OK 74104
Phone (918) 748-1300

1923 S Utica Ave
#1000
Tulsa, OK 74104

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1912336108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 W 4TH AVE",
            "city": "CANEY",
            "state": "KS",
            "postal_code": "673331462",
            "telephone_number": "620-879-2182",
            "fax_number": "620-879-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 W 4TH AVE",
            "city": "CANEY",
            "state": "KS",
            "postal_code": "673331462",
            "telephone_number": "620-879-2182",
            "fax_number": "620-879-2246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORTON",
        "first_name": "PATRICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-07",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "T03790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201087310A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caney, KS

Sources for this page

Verify at the official NPI Registry.