Provider Demographics
NPI:1205897808
Name:HORVICK, DAVID (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:HORVICK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2234 COLONIAL BLVD
Mailing Address - Street 2:ATTN: PAYER CONTRACTING & RELATIONS DEPT.
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-1412
Mailing Address - Country:US
Mailing Address - Phone:239-931-7342
Mailing Address - Fax:239-931-7385
Practice Address - Street 1:1 CAPITAL WAY
Practice Address - Street 2:
Practice Address - City:PENNINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08534-2520
Practice Address - Country:US
Practice Address - Phone:609-303-4244
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD030514E2085R0001X
MDD00679272085R0001X
NJ25MA091022002085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC0003OtherCAREFIRST BCBS
PA0091658000OtherPERSONAL CHOICE
NJ01666607OtherAMERIGROUP
PA1030965OtherKEYSTONE MERCY HEALTH PLA
MD94072503 (GETTYSBURGOtherCAREFIRST BCBS
MDP00928691OtherRAILROAD MEDICARE (OMB)
NJ0304034Medicaid
MD3603456OtherAMERICHOICE - BELCAMP OFFICE
MD88102701 (GREENBELT)OtherCAREFIRST BCBS
PAHO0000195426OtherHIGHMARK BLUE SHIELD
DC0008OtherCAREFIRST BCBS
PA001167823 0005Medicaid
MD01228581OtherAMERIGROUP
PA1191658000OtherKEYSTONE HEALTH PLAN EAST
PA195426OtherHIGHMARK BCBS
MD415607200Medicaid
PA50088876OtherCAPITOL BLUE CROSS
PA0011678230001Medicaid
MD01415563OtherAMERIGROUP (OMB)
NJ2671198OtherGHI
NJ3884504000OtherAMERIHEALTH
NJ4339828OtherAETNA
MD4339828OtherAETNA
57573OtherAETNA HEALTH PLAN
DC0002OtherCAREFIRST BCBS
MD3603455OtherAMERICHOICE- BEL AIR OFFICE
MD88102701 GREENBELTOtherCAREFIRST BCBS
NJ1096774OtherCIGNA
300016308OtherRAILROAD MEDICARE
PA4339828OtherAETNA PROVIDER #
MD94072504 LITTLESTOWNOtherCAREFIRST BCBS
MD940725-01OtherCAREFIRST BCBS
MD94072506OtherCAREFIRST BCBS
NJ60101993OtherHORIZON NJ HEALTH
MD6882-0006OtherCAREFIRST BCBS DC
NJP01055829OtherRAILROAD MEDICARE
300016308OtherRAILROAD MEDICARE
MD01415563OtherAMERIGROUP (OMB)
PA195426JVPMedicare PIN
MD3603455OtherAMERICHOICE- BEL AIR OFFICE
NJ1096774OtherCIGNA
MD94072503 (GETTYSBURGOtherCAREFIRST BCBS
PA165896WLHMedicare PIN