Provider Demographics
NPI:1124155767
Name:DAVID A HORVATH MD PC
Entity type:Organization
Organization Name:DAVID A HORVATH MD PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HORVATH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-831-3300
Mailing Address - Street 1:110 FORT COUCH RD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15241-1030
Mailing Address - Country:US
Mailing Address - Phone:412-831-3300
Mailing Address - Fax:412-831-3301
Practice Address - Street 1:110 FORT COUCH RD
Practice Address - Street 2:SUITE 203
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15241-1030
Practice Address - Country:US
Practice Address - Phone:412-831-3300
Practice Address - Fax:412-831-3301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD021641E207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PADP6997OtherRAILROAD MEDICARE
PA1940159OtherBLUE SHIELD GRP LEGACY
PA103839OtherUPMC
PAMD021640EOtherPA LISCENSE
PADP6997OtherRAILROAD MEDICARE
B29988Medicare UPIN