MEDICARE: SPAETH KATZ & MYER PC

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	207W00000X	Ophthalmology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0089125000	OTHER	PA	KEYSTONE EAST, AMERIHEALT
2	99388	OTHER	PA	AETNA
3	48553	OTHER	PA	KEYSTONE MERCY
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700823663
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPAETH KATZ & MYER PC

Provider Business Mailing Address
First Line	:	840 WALNUT STREET
Second Line	:	SUITE 1110
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107
Country	:	US
Telephone Number	:	215-928-3197
Fax Number	:	215-928-0166

Provider Business Practice Location Address
First Line	:	840 WALNUT STREET
Second Line	:	SUITE 1110
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107
Country	:	US
Telephone Number	:	215-928-3197
Fax Number	:	215-928-0166

Authorized Official
Title or Position	:	PRACTICE ADMINISTRATOR
Name	:	CAROL SCATTERGOOD
Credential	:
Telephone Number	:	215-928-3239

Provider Enumeration Date	:	06/01/2006
Last Update Date	:	05/03/2017

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Directions to “SPAETH KATZ & MYER PC ” Practice Location

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