1427089887 NPI number — DR. GEORGE JOHN KARRAT DPM

Table of content: (NPI 1154473148)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427089887 NPI number — DR. GEORGE JOHN KARRAT DPM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KARRAT
Provider First Name:
GEORGE
Provider Middle Name:
JOHN
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DPM
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1427089887
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/12/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
119 LEICESTER ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NORTH OXFORD
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01537-1005
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
508-509-5307
Provider Business Mailing Address Fax Number:
508-731-0465

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
119 LEICESTER ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NORTH OXFORD
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01537-1005
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-509-5307
Provider Business Practice Location Address Fax Number:
508-731-0465
Provider Enumeration Date:
07/05/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 213E00000X , with the licence number:  1395 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 33219 . This is a "HARVARD PILGRIM HEALTH" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 3678275 . This is a "CIGNA HEALTH CAR" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 5440 . This is a "FALLON COMMUNITY HEALTH" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 110012772 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 27-00405 . This is a "EVERCARE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 441408083 . This is a "RAILROAD RETIREMENT BOARD" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 704027 . This is a "TUFTS HEALTH PLAN" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 5183147 . This is a "AETNA HEALTH CARE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: T58653 . This is a "FIRST SENIORITY HEALTH CA" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: Y70541 . This is a "BCBSMA (BLUE SHIELD)" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 0308234 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".




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