Healthcare Provider Details

I. General information

NPI: 1265820658
Provider Name (Legal Business Name): SHANNON HORVATH NP C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/07/2015
Last Update Date: 03/29/2024
Certification Date: 03/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7661 BEECHMONT AVE STE 120
CINCINNATI OH
45255-4234
US

IV. Provider business mailing address

3648 WERK RD
CINCINNATI OH
45248-4900
US

V. Phone/Fax

Practice location:
  • Phone: 513-231-9010
  • Fax: 513-231-9706
Mailing address:
  • Phone: 513-233-4100
  • Fax: 513-451-9412

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number16829-NP
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: