Provider Demographics
NPI:1417944109
Name:KATZ, ARTHUR H (MD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:H
Last Name:KATZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1950 45TH STREET
Mailing Address - Street 2:SUITE 205
Mailing Address - City:MUNSTER
Mailing Address - State:IN
Mailing Address - Zip Code:46321-3927
Mailing Address - Country:US
Mailing Address - Phone:219-934-9396
Mailing Address - Fax:219-924-7899
Practice Address - Street 1:1950 45TH STREET
Practice Address - Street 2:SUITE 205
Practice Address - City:MUNSTER
Practice Address - State:IN
Practice Address - Zip Code:46321-3927
Practice Address - Country:US
Practice Address - Phone:219-934-9396
Practice Address - Fax:219-924-7899
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-29
Last Update Date:2017-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-055188207Y00000X
IN01027712A207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN2275913OtherAETNA
IN363140314COtherHUMANA
IN200859940AMedicaid
ILK34318OtherMEDICARE ID - TYPE UNSPECIFIED
IN200859940BMedicaid
IL520377OtherUNITED HEALTHCARE
IL21609195OtherBLUE CROSS BLUE SHIELD
IN363140314001OtherCHAMPUS/TRICARE (ME)
IL036055188Medicaid
IL363140314002OtherCHAMPUS/TRICARE
IL363140314COtherHUMANA
IN4028726OtherAETNA
IN000000095404OtherANTHEM BCBS OF IN
IL2275913OtherAETNA
IN363140314OtherCHAMPUS/TRICARE (MU)
IL4028726OtherAETNA
IN520377OtherUNITED HEALTHCARE
IN499320Medicare PIN
IL363140314COtherHUMANA
IN4028726OtherAETNA
C25252Medicare UPIN
IL036055188Medicaid
IL2275913OtherAETNA