Provider Demographics
NPI:1245200658
Name:HORRIGAN, ELIZABETH A (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:A
Last Name:HORRIGAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 BARES CREEK CT
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:45140-2501
Mailing Address - Country:US
Mailing Address - Phone:419-308-1966
Mailing Address - Fax:
Practice Address - Street 1:136 BARES CREEK CT
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:OH
Practice Address - Zip Code:45140-2501
Practice Address - Country:US
Practice Address - Phone:419-308-1966
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-26
Last Update Date:2017-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-074886207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2151639Medicaid
OH000000367406OtherANTHEM INSURANCE
OH03469OtherPARAMOUNT INSURANCE
OH5607746OtherCIGNA INSURANCE
OHHO0879874Medicare ID - Type Unspecified
OH03469OtherPARAMOUNT INSURANCE