Active NPI
David J Katz, MD
- Urology Physician
- Eau Claire, WI
National Provider Identifier
1053497131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 17319-020
- Practice address
- 3203 Stein Boulevard
Eau Claire, WI 54701-6995 - Phone
- (715) 835-6548
- Fax
- (715) 835-7708
- NPI assigned
- Oct 31, 2006
- Last updated
- Sep 3, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 17319 | WI | |
| Urology Physician | 208800000X | 17319-020 | WI | Primary |
Addresses
Primary practice location
3203 Stein Boulevard
Eau Claire, WI 54701-6995
Mailing address
3217 Stein Boulevard
Eau Claire, WI 54701-6995
Phone (715) 835-6548
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31066600 | Medicaid | WI | |
| 17319-020 | Other | WI | LICENSE |
| 5493 | Other | WI | SECURITY HEALTH PLAN |
| KOO217 | Other | WI | WAUSAU INSURANCE |
| 19-00255 | Other | WI | MEDICA |
| 208D3KA | Other | WI | HMO OF WISCONSIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17319 | WI | MD | Urology Physician |
| 17319-020 | WI | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Wisconsin Urology | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Urology Physician
- Eau Claire, WI
- NPI 1710060199
-
- Non-Pharmacy Dispensing Site
- Eau Claire, WI
- NPI 1821989872
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251936000000",
"number": "1053497131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3217 STEIN BOULEVARD",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547016995",
"telephone_number": "715-835-6548",
"fax_number": "715-835-7708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3203 STEIN BOULEVARD",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547016995",
"telephone_number": "715-835-6548",
"fax_number": "715-835-7708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATZ",
"first_name": "DAVID",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-31",
"last_updated": "2009-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "WI",
"license": "17319",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "WI",
"license": "17319-020",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31066600",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "17319-020",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SECURITY HEALTH PLAN",
"identifier": "5493",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WAUSAU INSURANCE",
"identifier": "KOO217",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "19-00255",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMO OF WISCONSIN",
"identifier": "208D3KA",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eau Claire, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.