Provider Demographics
NPI:1558340224
Name:HORN, JOYCE L (MD)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:L
Last Name:HORN
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 1:4685 FOREST AVE STE C-2
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45212-3397
Mailing Address - Country:US
Mailing Address - Phone:513-853-4721
Mailing Address - Fax:513-852-8525
Practice Address - Street 1:10475 READING RD
Practice Address - Street 2:SUITE 307
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45241-2563
Practice Address - Country:US
Practice Address - Phone:513-563-2030
Practice Address - Fax:513-563-1682
Is Sole Proprietor?:No
Enumeration Date:2006-01-11
Last Update Date:2019-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35050927207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0802699Medicaid
OH0802699Medicaid
OHD01193Medicare UPIN
OH9282431Medicare PIN
OH1023053170Medicare NSC
OH9282432Medicare PIN
OH0671982Medicare PIN
OH0671983Medicare PIN