Provider Demographics
NPI:1093900581
Name:KARL V. METZ, M.D., INC.
Entity Type:Organization
Organization Name:KARL V. METZ, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KARL
Authorized Official - Middle Name:V
Authorized Official - Last Name:METZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:440-543-1130
Mailing Address - Street 1:PO BOX 23285
Mailing Address - Street 2:
Mailing Address - City:CHAGRIN FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44023-0285
Mailing Address - Country:US
Mailing Address - Phone:440-543-1130
Mailing Address - Fax:440-543-0833
Practice Address - Street 1:5192 CHILLICOTHE RD
Practice Address - Street 2:SUITE 104
Practice Address - City:CHAGRIN FALLS
Practice Address - State:OH
Practice Address - Zip Code:44022-4196
Practice Address - Country:US
Practice Address - Phone:440-543-1130
Practice Address - Fax:440-543-0833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-08
Last Update Date:2007-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-06-2019-M207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0848202Medicaid
OHC35626Medicare UPIN
OHKA9349131Medicare PIN