Provider Demographics
NPI:1902855760
Name:F.S. KATZ HEAD & NECK, P.A.
Entity Type:Organization
Organization Name:F.S. KATZ HEAD & NECK, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FRED
Authorized Official - Middle Name:S
Authorized Official - Last Name:KATZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:913-722-0020
Mailing Address - Street 1:8901 W 74TH ST
Mailing Address - Street 2:SUITE 145
Mailing Address - City:MERRIAM
Mailing Address - State:KS
Mailing Address - Zip Code:66204-2271
Mailing Address - Country:US
Mailing Address - Phone:913-722-0020
Mailing Address - Fax:913-722-6937
Practice Address - Street 1:8901 W 74TH ST
Practice Address - Street 2:SUITE 145
Practice Address - City:MERRIAM
Practice Address - State:KS
Practice Address - Zip Code:66204-2271
Practice Address - Country:US
Practice Address - Phone:913-722-0020
Practice Address - Fax:913-722-6937
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-09
Last Update Date:2010-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS23370207YX0905X
KS0420032207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSA98431Medicare UPIN
KSC50556Medicare UPIN
KSB302750Medicare PIN
KSB306210Medicare PIN