DR. HARY T. KATZ (NPI# 1053322586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053322586 |
| Entity Type | Individual |
| Full Name | DR. HARY T. KATZ |
| Credential | MD |
| Practice Address |
4123 University Blvd. S. Suite B Jacksonville FL 32216 |
| Mailing Address |
4123 University Blvd S. Suite B Jacksonville FL 32216 |
| Practice Telephone | 9046369100 |
| Practice Fax Number | 9046369102 |
| Mailing Telephone | 9046369100 |
| Mailing Fax Number | 9046369102 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2012-08-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0201X |
Pediatrics Specialization: Pediatric Allergy/Immunology |
ME88948 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 270038700 | 05 | |
| GA | 494644845A | 05 |
| Street Address |
4123 UNIVERSITY BLVD. S. SUITE B |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
| 1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
| 1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
| 1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
| 1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
| 1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
| Find all providers in zip 32216 | ||||
| Taxonomy Code | 2080P0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Allergy/Immunology |
| A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: title modified, definition added, source added] Additional Resources: A Certification of Special Qualifications (CSQ) is issued by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598058166 | Shajitha Melethil | Pediatrics | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2011-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790076115 | South Broward Hospital District | Pediatrics | 1131 N 35th Ave Ste 220, Hollywood, FL 33021-5403 | 2011-04-20 |
| 1427609080 | University of Miami | Pediatrics | 1580 Nw 10th Ave Fl 1, Miami, FL 33136-1013 | 2019-09-25 |
| 1598185480 | Camile Ortega | Pediatrics | 16371 Nw 67th Ave, Miami Lakes, FL 33014-6044 | 2014-04-18 |
| 1548607757 | David Squier Lindsay II | Pediatrics | 12901 Bruce B Downs Blvd, #3130, Tampa, FL 33612-4742 | 2013-05-29 |
| 1225393556 | Grace Toledo Padron | Pediatrics | 1580 Nw 10th Ave, Miami, FL 33136-1013 | 2012-07-12 |
| 1538303631 | Amy Sarah Feldman | Pediatrics | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2009-04-21 |
| 1134394596 | Sthorn Thatayatikom | Pediatrics | 1600 Sw Archer Rd, Box 100371, Gainesville, FL 32610-0296 | 2008-04-28 |
| 1437349339 | American Medicine, Inc. | Pediatrics | 817 S University Dr, Suite 106, Plantation, FL 33324-3309 | 2007-07-26 |
| 1225117138 | Ilene Joy Goldstein | Pediatrics | 10301 Hagen Ranch Rd Ste 760, Boynton Beach, FL 33437-3777 | 2006-11-02 |
| 1962582031 | Kenneth Andrew Alexander | Pediatrics | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2006-10-16 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.