Organization Active NPI

Eastern Shore Gynecology, P.a

  • Gynecology Physician
  • Easton, MD
National Provider Identifier
1093862641
Registry record updated Jul 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
D0056997 Issued in MD
Legal business name
EASTERN SHORE GYNECOLOGY, P.A
Practice address
598 Cynwood Dr # 105
Easton, MD 21601-3805
Phone
(410) 822-1221
Fax
(410) 819-8149
NPI assigned
Jan 5, 2007
Last updated
Jul 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
William Henry Katz, MDNPI 1255339875
Title
Owner
Phone
(410) 822-1221

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X D0025475 MD
Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VG0400X D0056997 MD Primary

Addresses

Primary practice location

598 Cynwood Dr # 105
Easton, MD 21601-3805

Mailing address

598 Cynwood Dr # 105
Easton, MD 21601-3805
Phone (410) 822-1221

Other identifiers 4

IdentifierTypeStateIssuer
1093862641OtherMDGROUP NPI
1255339875OtherINDIVIDUAL NPI
1679571293OtherMDINDIVIDUAL NPI
1841395605OtherMDINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341792000000",
    "number": "1093862641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "598 CYNWOOD DR # 105",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013805",
            "telephone_number": "410-822-1221",
            "fax_number": "410-819-8149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "598 CYNWOOD DR # 105",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013805",
            "telephone_number": "410-822-1221",
            "fax_number": "410-819-8149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN SHORE GYNECOLOGY, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2012-07-09",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-822-1221",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0025475",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MD",
            "license": "D0056997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1093862641",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1255339875",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1679571293",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1841395605",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.