Provider Demographics
NPI:1386620276
Name:HORTON, STEPHANIE E (DO)
Entity type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:E
Last Name:HORTON
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Gender:F
Credentials:DO
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Mailing Address - Street 1:3200 BURNET AVE
Mailing Address - Street 2:3 SOUTH
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229-3019
Mailing Address - Country:US
Mailing Address - Phone:513-585-5501
Mailing Address - Fax:513-585-5511
Practice Address - Street 1:234 GOODMAN AVENUE DEPT. OF RADIOLOGY
Practice Address - Street 2:UNIVERSITY OF CINCINNATI PHYSICIANS COMPANY
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219
Practice Address - Country:US
Practice Address - Phone:513-584-2146
Practice Address - Fax:513-584-0431
Is Sole Proprietor?:No
Enumeration Date:2005-12-21
Last Update Date:2012-12-27
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Provider Licenses
StateLicense IDTaxonomies
CA20A88622471C3402X
OH340092312085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2471C3402XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistRadiography
Provider Identifiers
StateIdentifier IDID TypeIssuer
CARES000Medicare UPIN