Katalin H Boleratzky MD Inc

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

35876 Issued in AZ

Legal business name

KATALIN H BOLERATZKY MD INC

Practice address

101 Civic Center LN
Lake Havasu City, AZ 86403-5607

Phone

(928) 855-8185

NPI assigned

Dec 20, 2006

Last updated

Dec 28, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Katalin H Boleratzky, M.D.NPI 1801846993

Title

President

Phone

(602) 273-6770

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 3

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.

• Katalin H Boleratzky, MD

  • Anesthesiology Physician
  • Tempe, AZ
  • NPI 1801846993
  Medicare reassignment Authorized official
• Luke Anderson

  • Anesthesiology Physician
  • Phoenix, AZ
  • NPI 1720549074
  NPD (past)
• Christopher S. Henslee, MD

  • Anesthesiology Physician
  • Phoenix, AZ
  • NPI 1720260227
  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1114081726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29211",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850389211",
            "telephone_number": "602-273-6770",
            "fax_number": "602-889-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CIVIC CENTER LN",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035607",
            "telephone_number": "928-855-8185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATALIN H BOLERATZKY MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "BOLERATZKY",
        "authorized_official_first_name": "KATALIN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-273-6770",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "35876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daryl John Kallenbach, CNA
• Jamie N Kamon-Brancazio, PT, DPT
• Carrie Jean Kane, LPC
• Mirta I Kaperonis, LCSW
• Vasilios W Kaperonis, M.D.
• Ashutosh Kaushesh, D.D.S.
• Tod Dempsey Keam, O.T.R.
• Jennifer Keele, LMT
• Stephanie Lynn Kent, OCCUPATIONAL THERAPI
• Kevin Eugene Keough

• Anesthesiology Physician in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Anesthesiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.