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NPI Code Detail

MEDICARE: DR. ALLAN KATZ D.O.

MEDICARE: DR. ALLAN KATZ D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0001XClinical Cardiac Electrophysiology PhysicianOS009402LPA
2207RC0001XClinical Cardiac Electrophysiology Physician34008150KOH
3207RC0000XCardiovascular Disease PhysicianOS009402LPA
4207RC0000XCardiovascular Disease Physician34008150KOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285639963
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALLAN KATZ D.O.
Provider Business Mailing Address
First Line : 715 E WESTERN RESERVE RD FL 2
Second Line :
City : POLAND
State : OH
Zip : 44514-3358
Country : US
Telephone Number : 339-965-3363
Fax Number : 330-729-7701
Provider Business Practice Location Address
First Line : 715 E WESTERN RESERVE RD FL 2
Second Line :
City : POLAND
State : OH
Zip : 44514-3358
Country : US
Telephone Number : 339-965-3363
Fax Number : 330-729-7701
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2005
Last Update Date : 02/25/2020

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Directions to “ DR. ALLAN KATZ D.O.” Practice Location

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