Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | D41736 | MD |
N | 207V00000X | Obstetrician & Gynecologist | MD426592 | PA |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | D41736 | MD |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | MD426592 | PA |
NPI | 1023022167 |
---|---|
Provider Name | Dr. Jon Michael Katz |
First Address | Harrisburg, PA 17104-1612 |
Second Address | Harrisburg, PA 17101 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2006 |
Last Update Date | 11/07/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0101010 | (05) | MD |
027812 | JOHNS HOPKINS (01) | PA |
0417557000 | AMERIHEALTH 65 PA (01) | PA |
100453 | GEISINGER (01) | PA |
101276446 | (05) | PA |
1528497 | GATEWAY-WMG (01) | PA |
167766 | UNISON-WMG (01) | PA |
20044315 | AMERIHEALTH MERCY-WMG (01) | PA |
2137715 | MAMSI-WMG (01) | PA |
4271568 | AETNA (01) | PA |
50050088 | CAPITAL BLUE CROSS-WMG (01) | PA |
544507 | CAREFIRST MD BCBS (01) | MD |
595175 | HIGHMARK BLUE SHIELD (01) | PA |
E36933 | (02) | PA |