Richard Eric Katz, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS-006295L Issued in PA

Practice address

3180 Route 611
Suite 22
Bartonsville, PA 18321-7824

Phone

(570) 629-1700

NPI assigned

Aug 24, 2005

Last updated

Sep 28, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• St. Luke's Physician Group, Inc.

  • Internal Medicine Physician
  • Bartonsville, PA
  • NPI 1760740864
  NPD (past)

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348790400000",
    "number": "1215920400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3180 ROUTE 611",
            "address_2": "SUITE 22",
            "city": "BARTONSVILLE",
            "state": "PA",
            "postal_code": "183217824",
            "telephone_number": "570-629-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 ROUTE 611",
            "address_2": "SUITE 22",
            "city": "BARTONSVILLE",
            "state": "PA",
            "postal_code": "183217824",
            "telephone_number": "570-629-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "RICHARD",
        "middle_name": "ERIC",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2012-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS-006295L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012079470003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frances Gourdet
• Douglas Eugene Haladay, PT,MHS,DPT,OCS,CSCS
• Thomas Tryon Hart, MD
• Ralph D Hawks, MD
• Russell A Horn, PA
• Nicole L Koch, CRNP
• Vickie L Kovar, C.R., LMT
• Paul Hanju Lee, DDS
• Lindsey Maula, RDN, LDN
• Tiffany Nicole Meckler, PA-C

• Internal Medicine Physician in Bartonsville, PA
• Providers in Bartonsville, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.