1861427932 NPI number — DR. MICHAEL JOSEPH HORWATH MD

Table of content: BRIAN MALDONADO (NPI 1679004535)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861427932 NPI number — DR. MICHAEL JOSEPH HORWATH MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HORWATH
Provider First Name:
MICHAEL
Provider Middle Name:
JOSEPH
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1861427932
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/21/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6035 BURKE CTR PKWY
Provider Second Line Business Mailing Address:
#390
Provider Business Mailing Address City Name:
BURKE
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
22015-3750
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
703-709-6116
Provider Business Mailing Address Fax Number:
703-978-7762

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6355 WALKER LN STE 405
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ALEXANDRIA
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22310-3238
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
703-719-6715
Provider Business Practice Location Address Fax Number:
703-719-5762
Provider Enumeration Date:
07/11/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RE0101X , with the licence number:  37920 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RE0101X , with the licence number: 0101037920 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 312418 . This is a "OPTIMUM CHOICE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 33308 . This is a "AFFORDABLE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 49D0715982 . This is a "CLIA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 6076815 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: HT7896 . This is a "CIGNA HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 010056459 . This is a "MEDICARE RAILROAD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2027 . This is a "CAREFIRST BCBS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 497389 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 096526 . This is a "ANTHEM BCBS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 3300090 . This is a "UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2026 www.npivalidator.com