Basic Information
| Provider Information | |||||||||
| NPI: | 1417081654 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KATZ | ||||||||
| FirstName: | JASON | ||||||||
| MiddleName: | N. | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD, MHS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 160 DENTAL CIRCLE, 6TH FLOOR BURNETT WOMACK BLDG | ||||||||
| Address2: | CB 7075 | ||||||||
| City: | CHAPEL HILL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275997075 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9198430447 | ||||||||
| FaxNumber: | 9199661743 | ||||||||
| Practice Location | |||||||||
| Address1: | 160 DENTAL CIRCLE, 6TH FLOOR BURNETT WOMACK BLDG | ||||||||
| Address2: | CB 7075 | ||||||||
| City: | CHAPEL HILL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275997075 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9198430447 | ||||||||
| FaxNumber: | 9199661743 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/16/2007 | ||||||||
| LastUpdateDate: | 07/12/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RA0001X | 2006-00048 | NC | Y | 207RC0000X | 2006-00048 | NC | N | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease | 207RC0200X | 2006-00048 | NC | N | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine |
No ID Information.