Active NPI
Stephen Jerome Katz, M.D.
- Surgery Physician
- Idabel, OK
National Provider Identifier
1922056662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 9207
- Practice address
- 1425 E Lincoln Rd
Suite a-6
Idabel, OK 74745-7345 - Phone
- (580) 286-2947
- Fax
- (580) 286-8287
- NPI assigned
- May 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 9207 | OK | Primary |
Addresses
Primary practice location
1425 E Lincoln Rd
Suite a-6
Idabel, OK 74745-7345
Mailing address
1425 E Lincoln Rd
Suite a-6
Idabel, OK 74745-7345
Phone (580) 286-2947
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9207 | OK | MD | Emergency Medicine Physician |
Interoperability endpoints
- skatz187358@ahs.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358812800000",
"number": "1922056662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 E LINCOLN RD",
"address_2": "SUITE A-6",
"city": "IDABEL",
"state": "OK",
"postal_code": "747457345",
"telephone_number": "580-286-2947",
"fax_number": "580-286-8287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 E LINCOLN RD",
"address_2": "SUITE A-6",
"city": "IDABEL",
"state": "OK",
"postal_code": "747457345",
"telephone_number": "580-286-2947",
"fax_number": "580-286-8287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATZ",
"first_name": "STEPHEN",
"middle_name": "JEROME",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2013-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OK",
"license": "9207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Idabel, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.