Healthcare Provider Details

I. General information

NPI: 1457355109
Provider Name (Legal Business Name): HOWARD KATZ DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2005
Last Update Date: 08/31/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1375 E. 9TH STE 1850
CLEVELAND OH
44114
US

IV. Provider business mailing address

8243 MANOR GATE WAY
MENTOR OH
44060-5969
US

V. Phone/Fax

Practice location:
  • Phone: 216-443-0430
  • Fax:
Mailing address:
  • Phone: 216-443-0430
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberDO65
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number002483
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: