1427089887 NPI number — DR. GEORGE JOHN KARRAT DPM

Table of content: DR. GEORGE JOHN KARRAT DPM (NPI 1427089887)

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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