MICHAEL J. KATIN (NPI# 1811994999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811994999 |
| Entity Type | Individual |
| Full Name | MICHAEL J. KATIN |
| Credential | MD |
| Practice Address |
15681 New Hampshire Ct Fort Myers FL 33908-4123 |
| Mailing Address |
1860 Boy Scout Dr Ste 201 Fort Myers FL 33907-2119 |
| Practice Telephone | 2394371977 |
| Practice Fax Number | 2394371889 |
| Mailing Telephone | 2392151180 |
| Mailing Fax Number | 2392151179 |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2020-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
127667-1 | NY | Allopathic & Osteopathic Physicians |
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
2001-01567 | NC | Allopathic & Osteopathic Physicians |
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
4877 | NV | Allopathic & Osteopathic Physicians |
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
G26661 | CA | Allopathic & Osteopathic Physicians |
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
ME0026427 | FL | Allopathic & Osteopathic Physicians |
| Y | 2085R0203X |
Radiology Specialization: Therapeutic Radiology |
ME26427 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 2019966 | 05 | |
| FL | OP. ENG. LOC. 825 PROV. # | 76715 | 01 |
| FL | AVMED PROVIDER NUMBER | 205786 | 01 |
| FL | UTD. HLTHCR. PROVIDER # | 24-05164 | 01 |
| FL | WELLCARE | 985684 | 01 |
| FL | MEDICARE | MB505 | 01 |
| FL | MEDICARE | MB506 | 01 |
| FL | UNV. HLTHCR. PROVIDER # | 00787 | 01 |
| CA | 00G26610 | 05 | |
| NY | 01738807 | 05 | |
| FL | CIGNA PROVIDER NUMBER | 0916153-016 | 01 |
| FL | METCARE VENDOR ID # | 592485899 | 01 |
| FL | 065594500 | 05 | |
| FL | AETNA PROVIDER NUMBER | 4129712 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3080 Harbor Blvd, Port Charlotte, FL 339526720 | 9418832199 | 9419795041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104270446 | Michael Katin | Student in an Organized Health Care Education/Training Program | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2016-04-22 |
| Street Address |
15681 NEW HAMPSHIRE CT |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33908-4123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396398756 | Axis Radiation Oncology, LLC | Radiology | 15681 New Hampshire Ct, Fort Myers, FL 33908-4123 | 2019-07-24 |
| 1730506213 | Debbie Slipkovich | Nurse Practitioner | 15681 New Hampshire Ct, Fort Myers, FL 33908-4123 | 2014-03-24 |
| 1124322649 | Diane G Cope | Nurse Practitioner | 15681 New Hampshire Ct, Fort Myers, FL 33908-4123 | 2010-12-23 |
| 1457654162 | Rhonda K. Karl | Nurse Practitioner | 15681 New Hampshire Ct, Fort Myers, FL 33908-4123 | 2010-12-20 |
| 1184927808 | Joan M Gibble | Nurse Practitioner | 15681 New Hampshire Ct, Fort Myers, FL 33908-4123 | 2010-12-20 |
| 1063713824 | Marquis Pease | Physician Assistant | 15681 New Hampshire Ct, Fort Myers, FL 33908-4123 | 2010-11-10 |
| 1720303589 | Arie P. Dosoretz | Radiology | 15681 New Hampshire Ct, Fort Myers, FL 33908-4123 | 2010-04-05 |
| 1225064520 | Florida Cancer Specialists P L | Internal Medicine | 15681 New Hampshire Ct, Fort Myers, FL 33908-4123 | 2006-06-25 |
| 1336119551 | Danielle J. Francis | Nurse Practitioner | 15681 New Hampshire Ct, Fort Myers, FL 33908-4123 | 2006-01-23 |
| 1184607624 | Michael G. Raymond | Internal Medicine | 15681 New Hampshire Ct, Fort Myers, FL 33908-4123 | 2005-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081806 | 1 Recovery | Community/Behavioral Health | 111 Daniels Dr, Fort Myers, FL 33908 | 2020-10-20 |
| 1457916462 | Avipharm, LLC | Pharmacy | 7669 Calistoble Loop, 2nd Floor, Fort Myers, FL 33908 | 2019-05-06 |
| 1013492289 | Craig M Stein | Pharmacist | 15236 Tropic Bird Court, Fort Myers, FL 33908 | 2018-10-03 |
| 1730665167 | Kyndra Lynn Petrick | Psychiatry & Neurology | 8560 Big Mangrove Dr, Fort Myers, FL 33908 | 2018-07-18 |
| 1447757547 | Douglas L Jarrett | Nurse Practitioner | 16261 Bass Rd Suite 300, Fort Myers, FL 33908 | 2018-04-06 |
| 1447754825 | Luis Daniel Ramos | General Practice | 15590 Ocean Walk Cir Apt 201, Fort Myers, FL 33908 | 2018-03-21 |
| 1619497062 | Vanesa Paola Vaquer | Dentist | 18070 S Tamiami Trl Ste 101, Fort Myers, FL 33908 | 2017-06-26 |
| 1962859603 | Teresa Ruiz | Behavior Technician | 15081 Woodrich Bend Ct Apt 416, Fort Myers, FL 33908 | 2016-05-23 |
| 1669865721 | Elena B. Alexiev | Dentist | 18070 S. Tamiami Trail, #101, Fort Myers, FL 33908 | 2015-03-13 |
| 1134488919 | Cecelia Anne Collins | Dietitian, Registered | 9215 Calle Arragon Avenue, Unit 205, Fort Myers, FL 33908 | 2012-05-14 |
| Find all providers in zip 33908 | ||||
| Taxonomy Code | 2085R0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Therapeutic Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821407339 | Sperling Radiology PC | Radiology | 4205 W Atlantic Ave Bldg D, Delray Beach, FL 33445-3901 | 2014-08-08 |
| 1780938829 | Leonard Jay Shukovsky | Radiology | 6927 Greentree Dr, Naples, FL 34108-8528 | 2012-10-27 |
| 1497918601 | Sonal Sura | Radiology | 8991 Brighton Ln, Bonita Springs, FL 34135-7505 | 2008-07-08 |
| 1073772067 | Kunal Saigal | Radiology | 5370 University Pkwy, Sarasota, FL 34243-5800 | 2008-06-04 |
| 1164694055 | Lourdes I Montes | Radiology | 7819 Se 12th Cir, Ocala, FL 34480-6648 | 2008-03-31 |
| 1528257128 | Paul Arthur Baumann | Radiology | 10201 Bellavista Cir, Unit 303, Miromar Lakes, FL 33913-8973 | 2007-10-18 |
| 1730229360 | Nathaniel Silon | Radiology | 304 Plantation Cir, Ponte Vedra Beach, FL 32082-3925 | 2007-02-06 |
| 1083656730 | Irving J. Weigensberg | Radiology | 22729 El Dorado Dr, Boca Raton, FL 33433-6002 | 2006-06-10 |
| 1720043649 | Jack Joseph Schneider | Radiology | 6361 Pelican Bay Blvd, Apt. 1205, Naples, FL 34108-7134 | 2006-04-20 |
| 1154392603 | Christine Elissa Skerbetz | Radiology | 1400 Lakeland Hills Blvd, Women's Center Bldg A, Lakeland, FL 33805-3202 | 2006-01-31 |
| Find all providers with the same taxonomy | ||||
| City | FORT MYERS |
| Zip Code | 33908 |
Please comment or provide details below to improve the information on MICHAEL J. KATIN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.