| Joseph J Katta Md Pa | |
|
1900 Nebraska Ave Suite 5 Fort Pierce FL 34950-4837 | |
| (772) 466-7200 | |
| (772) 466-9513 |
| Full Name | Joseph J Katta Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1900 Nebraska Ave, Fort Pierce, Florida |
| Authorized Official Name and Position | Joseph Joseph Katta (DIRECT OWNER) |
| Authorized Official Contact | 7724667200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph J Katta Md Pa 1900 Nebraska Ave Suite 5 Fort Pierce FL 34950-4837 Ph: (772) 466-7200 | Joseph J Katta Md Pa 1900 Nebraska Ave Suite 5 Fort Pierce FL 34950-4837 Ph: (772) 466-7200 |
| NPI Number | 1427090224 |
|---|---|
| Provider Enumeration Date | 06/13/2006 |
| Last Update Date | 06/04/2008 |
| Medicare PECOS PAC ID | 0244311553 |
|---|---|
| Medicare Enrollment ID | O20080528000559 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427090224 | NPI | - | NPPES |
| 043582100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 0047323 (Florida) | Primary |
| Provider Name | Larry S Hirschfield |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1437126612 PECOS PAC ID: 0244268548 Enrollment ID: I20050729000125 |
| Provider Name | Joseph J Katta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508892563 PECOS PAC ID: 8224058706 Enrollment ID: I20070507000277 |
| Provider Name | Gloria J Huber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598707366 PECOS PAC ID: 9830295914 Enrollment ID: I20070507000282 |
| Provider Name | Margalie C Jean Francois |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851724819 PECOS PAC ID: 4385879725 Enrollment ID: I20131021000835 |
| Provider Name | Manuel D Domagtoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730511221 PECOS PAC ID: 0749415065 Enrollment ID: I20131022001711 |
| Provider Name | Kim S Cantello-baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407296734 PECOS PAC ID: 9335376268 Enrollment ID: I20131220000320 |
| Provider Name | Kishor Muniyappa |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467470583 PECOS PAC ID: 0244257517 Enrollment ID: I20141007000069 |
| Provider Name | Brenda L Dozack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427456086 PECOS PAC ID: 8325364888 Enrollment ID: I20150302000068 |
| Provider Name | Robert S Epstein |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124010624 PECOS PAC ID: 1759325319 Enrollment ID: I20170127000664 |
| Provider Name | Lisamarie Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285179531 PECOS PAC ID: 8729363544 Enrollment ID: I20170317001310 |
| Provider Name | Jacqueline E Nurse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689106254 PECOS PAC ID: 1951678929 Enrollment ID: I20170522002901 |
| Provider Name | Sherine Abdalla |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366862997 PECOS PAC ID: 6507281805 Enrollment ID: I20200804001255 |
| Provider Name | Bridgett M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629580519 PECOS PAC ID: 3375931702 Enrollment ID: I20211103002577 |
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