Healthcare Provider Details

I. General information

NPI: 1932176724
Provider Name (Legal Business Name): JANOS KATANICS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/01/2006
Last Update Date: 04/24/2025
Certification Date: 04/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 11TH ST
CARROLLTON KY
41008-1435
US

IV. Provider business mailing address

4106 CENTRAL SARASOTA PKWY APT 1028
SARASOTA FL
34238-5687
US

V. Phone/Fax

Practice location:
  • Phone: 502-732-4321
  • Fax:
Mailing address:
  • Phone: 352-263-9454
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number01076431A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number54827
License Number StateKY
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number54827
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: