Steven Katz, D.O.
Individual provider Active NPI Surgery Physician · Avis, PA
NPI 1508940834 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1508940834
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- OS003250L (PA)
- Practice address
- 104 East Central Ave.
Avis, PA 17721-0430 - Phone
- (570) 753-8077
- Fax
- (570) 753-5489
- NPI assigned
- Oct 24, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Philadelphia College of Osteopathic Medicine, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Integrated Wound Specialists of Elizabeth LLC
Practice addresses (Care Compare)
2500 English Cree Ave
Building 700 Suite 701
Egg Harbor Township, NJ 08234
Phone (609) 407-2205
Hospital & facility affiliations
- Jefferson Stratford Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 34 |
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160831000372 | NJ | Practitioner - General Surgery | 1658557079 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS003250L | PA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| General & Vascular Surgical Group, P.C | Surgery | Past | Accepting new patients |
Interoperability endpoints
- katz@direct-address.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | OS003250L | PA | Yes |
Addresses
Primary practice location
104 East Central Ave.
Avis, PA 17721-0430
Mailing address
PO Box 430
Avis, PA 17721-0430
Phone (570) 753-8077
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 158643 | Other | PA | BLUE SHIELD |
| 0006795690002 | Medicaid | PA | |
| 4256987 | Other | PA | AETNA |
| 76590-6514 | Other | PA | GEISINGER HEALTH PLAN |
| 20053759 | Other | PA | RAILROAD MEDICARE |
| 815984 | Other | PA | FIRST PRIORITY HEALTH |
Other providers in Avis, PA
- Geisinger Clinic
- Susan Lynne Glossner
- Stephen Goykovich
- Ashley Hershberger
- Jersey Shore Hospital Foundation, Inc
- Mia Marcel
- Debra Kay Mihalik
- Jignesh Bhikhalal Modha
- Neshamah Bread & Roses Counseling, LLC
- Courtney Jade Smith
All providers in Avis, PA · Surgery Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.