Healthcare Provider Details
I. General information
NPI: 1760703334
Provider Name (Legal Business Name): CHAD WALTON KATONA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/18/2010
Last Update Date: 03/15/2026
Certification Date: 03/15/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6770 MAYFIELD RD # 421
MAYFIELD HTS OH
44124-2299
US
IV. Provider business mailing address
6770 MAYFIELD RD # 421
MAYFIELD HTS OH
44124-2299
US
V. Phone/Fax
- Phone: 440-449-1107
- Fax:
- Phone: 440-449-1101
- Fax: 440-449-7715
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | 35.134816 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2086S0102X |
| Taxonomy | Surgical Critical Care Physician |
| License Number | 35.134816 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: