Physician Compare National (NPI:1972503415)

HEALTHCARE PROVIDER: STEPHEN PHILIP KATZ M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1972503415
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1658403951
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100722000484
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KATZ
	Individual professional last name
Provider First Name	STEPHEN
	Individual professional first name
Provider Middle Name	P
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
	Individual professional's medical school
Graduation Year	1990
	Individual professional's medical school graduation year
Primary Specialty	ANESTHESIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERVENTIONAL PAIN MANAGEMENT
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	PAIN MANAGEMENT
	Second secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERVENTIONAL PAIN MANAGEMENT, PAIN MANAGEMENT
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	3311 PRESCOTT RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 415
	Group Practice or individual's line 2 address
City	ALEXANDRIA
	Group Practice or individual's city
State	LA
	Group Practice or individual's state
Zip Code	713013985
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	190298
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CENTRAL LOUISIANA SURGICAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y