Provider Demographics
NPI:1861427932
Name:HORWATH, MICHAEL JOSEPH (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:JOSEPH
Last Name:HORWATH
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 1:6035 BURKE CTR PKWY
Mailing Address - Street 2:#390
Mailing Address - City:BURKE
Mailing Address - State:VA
Mailing Address - Zip Code:22015-3750
Mailing Address - Country:US
Mailing Address - Phone:703-709-6116
Mailing Address - Fax:703-978-7762
Practice Address - Street 1:6355 WALKER LN STE 405
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22310-3238
Practice Address - Country:US
Practice Address - Phone:703-719-6715
Practice Address - Fax:703-719-5762
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA37920207RE0101X
VA0101037920207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
312418OtherOPTIMUM CHOICE
33308OtherAFFORDABLE
49D0715982OtherCLIA
VA6076815Medicaid
HT7896OtherCIGNA HEALTHCARE
010056459OtherMEDICARE RAILROAD
2027OtherCAREFIRST BCBS
497389OtherAETNA
096526OtherANTHEM BCBS
3300090OtherUNITED HEALTHCARE
2027OtherCAREFIRST BCBS
33308OtherAFFORDABLE