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NPI Code Detail

MEDICARE: SARA KATZ P.A.-C

MEDICARE: SARA KATZ P.A.-C
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
1363A00000XPhysician AssistantPA10004522WA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
38001798OTHERWAMEDICARE RHC

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 : 1497707889
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA KATZ P.A.-C
Provider Business Mailing Address
First Line : 915 SHERIDAN ST
Second Line : SUITE B103
City : PORT TOWNSEND
State : WA
Zip : 98368-2931
Country : US
Telephone Number : 360-379-8031
Fax Number : 360-385-0418
Provider Business Practice Location Address
First Line : 915 SHERIDAN ST
Second Line : SUITE B103
City : PORT TOWNSEND
State : WA
Zip : 98368-2931
Country : US
Telephone Number : 360-379-8031
Fax Number : 360-385-0418
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2006
Last Update Date : 07/29/2024

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1831142132 — ROBERT STEVEN BUTTERFIELD M.D.
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Directions to “ SARA KATZ P.A.-C” Practice Location

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