MEDICARE: DR. SHERMAN A 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
1	2086S0129X	Vascular Surgery Physician	35039366	OH

Other Identifiers

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

General Provider Information

NPI Number	:	1588746572
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHERMAN A KATZ MD

Provider Business Mailing Address
First Line	:	PO BOX 277
Second Line	:
City	:	DUNCAN FALLS
State	:	OH
Zip	:	43734-0277
Country	:	US
Telephone Number	:	740-280-0001
Fax Number	:	740-280-0002

Provider Business Practice Location Address
First Line	:	377 MAIN ST
Second Line	:
City	:	DUNCAN FALLS
State	:	OH
Zip	:	43734-9763
Country	:	US
Telephone Number	:	740-280-0001
Fax Number	:	740-280-0002

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/19/2006
Last Update Date	:	05/21/2008

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