Shmuel Erno Katz, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME 0038847 Issued in FL

Practice address

100 NW 170TH St
Wound Care Clinic Suite 105
North Miami Beach, FL 33169-5513

Phone

(305) 654-5069

Fax

(305) 654-5217

NPI assigned

Nov 16, 2006

Sex

Male

Sole proprietor

Yes

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 Medicine

State licenses

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578636452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10185 COLLINS AVE",
            "address_2": "SUITE 418",
            "city": "BAL HARBOUR",
            "state": "FL",
            "postal_code": "331541600",
            "telephone_number": "305-864-7770",
            "fax_number": "305-864-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NW 170TH ST",
            "address_2": "WOUND CARE CLINIC SUITE 105",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331695513",
            "telephone_number": "305-654-5069",
            "fax_number": "305-654-5217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "SHMUEL",
        "middle_name": "ERNO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME 0038847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045764700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Simon E Kaswan, DDS
• Adele Kates, M.ED., C.C.C., S.L.P
• Charles H Kates, DDS
• Larry Katz, MD
• Mayer Katz
• Nicola A Kemmerer, PA
• William M Kendrick, MD
• Keri M Pomella, OD PA
• Austin Kerker, LCSW
• Amir Mohit Kermani, D.C.

• Surgery Physician in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.