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NPI Code Detail

MEDICARE: TYLER JESSICA KATZ MD

MEDICARE:   TYLER JESSICA KATZ  MD
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
1207V00000XObstetrics & Gynecology Physician090465OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000564039OTHEROHANTHEM BLUE SHIELD
2000000564657OTHEROHANTHEM BLUE SHIELD
3420570OTHEROHWELLCARE
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346317179
Entity Type Code : Individual
Provider Name (Legal Business Name) : TYLER JESSICA KATZ MD
Provider Business Mailing Address
First Line : 11100 EUCLID AVE
Second Line : MACDONALD WOMEN'S HOSPITAL, 7TH FLOOR
City : CLEVELAND
State : OH
Zip : 44106
Country : US
Telephone Number : 216-844-3921
Fax Number : 216-201-4239
Provider Business Practice Location Address
First Line : 11000 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44106-1714
Country : US
Telephone Number : 216-201-4239
Fax Number : 216-201-4239
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2006
Last Update Date : 12/28/2020

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Directions to “ TYLER JESSICA KATZ MD” Practice Location

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