HORIZON MEDICAL PC NPI 1164461943

NPI Information

  • NPI: 1164461943
  • Provider Name: HORIZON MEDICAL PC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 600 PARK AVE
    GRAND HAVEN, MI
    ZIP 49417
  • Phone: (616) 846-9712

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NPI Details

HORIZON MEDICAL PC is a general practice in Grand Haven, MI. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee HORIZON MEDICAL PC NPI is 1164461943. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

600 PARK AVE
GRAND HAVEN, MI
ZIP 49417-173
Phone: (616) 846-9712
Fax: (616) 846-9714

The provider's authorized official is David T Ottenbaker .
The authorized official title is President and has the following contact phone number (616) 846-8540.

The enumeration date for this NPI number is 6/6/2006 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineNo
3208000000XPediatricsNo
42085R0202XRadiologyDiagnostic RadiologyNo
5208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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