Provider Demographics
NPI:1598832750
Name:ARTHUR H. KATZ, M.D., S.C.
Entity Type:Organization
Organization Name:ARTHUR H. KATZ, M.D., S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER & PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:H
Authorized Official - Last Name:KATZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:219-934-9396
Mailing Address - Street 1:1950 45TH ST
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 ST
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-30
Last Update Date:2017-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01027712207YP0228X, 207YX0905X
IL036-055188207YP0228X, 207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic SurgeryGroup - Multi-Specialty
No207YP0228XAllopathic & Osteopathic PhysiciansOtolaryngologyPediatric OtolaryngologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL21609195OtherBLUE CROSS BLUE SHIELD
IL036055188Medicaid
IN520377OtherUNITED HEALTHCARE
IL214601OtherMEDICARE ID - TYPE UNSPECIFIED
IN000000095404OtherANTHEM BCBS OF IN
IN200859940AMedicaid
IN2275913OtherAETNA
IL2275913OtherAETNA
IL520377OtherUNITED HEALTHCARE
IN200859940BMedicaid
IN4028726OtherAETNA
IL4028726OtherAETNA
IL214601OtherMEDICARE ID - TYPE UNSPECIFIED
IN000000095404OtherANTHEM BCBS OF IN
IN520377OtherUNITED HEALTHCARE
IN240000004Medicare ID - Type UnspecifiedTRAVELERS
IN499320Medicare ID - Type Unspecified
IN240000004Medicare ID - Type UnspecifiedTRAVELERS
IN000000095404OtherANTHEM BCBS OF IN
IN=========OtherCHAMPUS/TRICARE
IN520377OtherUNITED HEALTHCARE