Sara Katz, P.A.-C
Individual provider Active NPI Physician Assistant · Port Townsend, WA
NPI 1497707889 · NPPES record last updated Jul 29, 2024
Key facts
- NPI
- 1497707889
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA10004522 (WA)
- Practice address
- 915 Sheridan St
Suite B103
Port Townsend, WA 98368-2931 - Phone
- (360) 379-8031
- Fax
- (360) 385-0418
- NPI assigned
- May 16, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Jefferson County Public Hospital District No 2
Practice addresses (Care Compare)
915 Sheridan St
Port Townsend, WA 98368-2931
Phone (360) 379-8031
Hospital & facility affiliations
- Jefferson Healthcare Home Health
- Jefferson Healthcare Home Health
- Jefferson Healthcare
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040428000679 | WA | Practitioner - Physician Assistant | 3173510419 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson County Public Hospital District No 2 | Past | Accepting new patients | |
| Jefferson County Public Hospital District No 2 | Past | Accepting new patients |
Interoperability endpoints
- skatz294233@wm.providencedirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA10004522 | WA | Yes |
Addresses
Primary practice location
915 Sheridan St
Suite B103
Port Townsend, WA 98368-2931
Mailing address
915 Sheridan St
Suite B103
Port Townsend, WA 98368-2931
Phone (360) 379-8031
Other practice location 1
834 Sheridan St
Port Townsend, WA 98368-2443
Phone (360) 385-2200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8380917 | Medicaid | WA | |
| 1011717 | Medicaid | WA | |
| 8001798 | Other | WA | MEDICARE RHC |
NPI Registry JSON
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722211200000",
"number": "1497707889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 SHERIDAN ST",
"address_2": "SUITE B103",
"city": "PORT TOWNSEND",
"state": "WA",
"postal_code": "983682931",
"telephone_number": "360-379-8031",
"fax_number": "360-385-0418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 SHERIDAN ST",
"address_2": "SUITE B103",
"city": "PORT TOWNSEND",
"state": "WA",
"postal_code": "983682931",
"telephone_number": "360-379-8031",
"fax_number": "360-385-0418"
}
],
"practiceLocations": [
{
"address_1": "834 Sheridan St",
"address_purpose": "LOCATION",
"city": "Port Townsend",
"state": "WA",
"postal_code": "983682443",
"country_code": "US",
"telephone_number": "360-385-2200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KATZ",
"first_name": "SARA",
"credential": "P.A.-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-16",
"last_updated": "2024-07-29",
"certification_date": "2024-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA10004522",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8380917",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1011717",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RHC",
"identifier": "8001798",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
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All providers in Port Townsend, WA · Physician Assistant in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.