Individual
JEFFRY A KATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-8500
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
35-067222
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000229165
UNISON
OH
01
—
000000544192
ANTHEM
OH
01
—
0667550
AETNA
OH
05
—
0989104
—
OH
01
—
110106476
RAILROAD MEDICARE
OH
05
—
1730109497
—
MI
01
—
363686
WELLCARE
OH
01
—
741789
BUCKEYE
OH
01
—
P00432048
RAILROAD MEDICARE
OH
Enumeration date
07/19/2006
Last updated
11/16/2020
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