Basic Information
Provider Information
NPI: 1174510481
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BARNHORN
FirstName: ROBERT
MiddleName: WILLIAM
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 424 WARDS CORNER RD STE 200
Address2:  
City: LOVELAND
State: OH
PostalCode: 451406966
CountryCode: US
TelephoneNumber: 5137074041
FaxNumber: 5135761020
Practice Location
Address1: 8000 FIVE MILE ROAD
Address2: SUITE 207
City: CINCINNATI
State: OH
PostalCode: 452304523
CountryCode: US
TelephoneNumber: 5134742870
FaxNumber: 5136888585
Other Information
ProviderEnumerationDate: 10/03/2005
LastUpdateDate: 05/28/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X35038401OHY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 
174400000X35038401BOHN Other Service ProvidersSpecialist 

ID Information
IDTypeStateIssuerDescription
052850305OH MEDICAID


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