Healthcare Provider Details

I. General information

NPI: 1609197888
Provider Name (Legal Business Name): KATIE ANN PROPST MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATIE PROPST M.D.

II. Dates (important events)

Enumeration Date: 06/22/2010
Last Update Date: 01/14/2022
Certification Date: 01/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 EUCLID AVE DESK A81
CLEVELAND OH
44195-0001
US

IV. Provider business mailing address

PO BOX 917770
ORLANDO FL
32891-0001
US

V. Phone/Fax

Practice location:
  • Phone: 216-445-4877
  • Fax:
Mailing address:
  • Phone: 813-821-8038
  • Fax: 813-974-4325

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VF0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
License NumberME152520
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: