Healthcare Provider Details

I. General information

NPI: 1619234689
Provider Name (Legal Business Name): JOHN WILLIAM HORINGER JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2012
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 ALLEN BRADLEY DR STE 240
MAYFIELD HEIGHTS OH
44124-6130
US

IV. Provider business mailing address

300 ALLEN BRADLEY DR STE 240
MAYFIELD HEIGHTS OH
44124-6130
US

V. Phone/Fax

Practice location:
  • Phone: 216-382-8000
  • Fax: 216-297-3233
Mailing address:
  • Phone: 216-382-8000
  • Fax: 216-297-3233

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number35.126153
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: