JOSEPH J KATTA MD PA NPI 1639593858

NPI Information

  • NPI: 1639593858
  • Provider Name: JOSEPH J KATTA MD, PA
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Organization
  • Doing Business As: TESORO LAB
  • CLIA Number: 10D2055355
  • Address: 1811 S 25TH ST
    FORT PIERCE, FL
    ZIP 34947
  • Phone: (772) 595-5988

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NPI Details

JOSEPH J KATTA MD, PA is a gastroenterology internal medicine in Fort Pierce, FL. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. JOSEPH J KATTA MD, PA NPI is 1639593858. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Tesoro Lab.

The provider's business location address is:

1811 S 25TH ST
FORT PIERCE, FL
ZIP 34947-756
Phone: (772) 595-5988
Fax: (772) 595-5989

The provider's authorized official is Joseph J Katta .
The authorized official title is Chief Officer and has the following contact phone number (772) 595-5988.

The CLIA number assigned to this NPI record is 10D2055355 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 2/7/2014 and was last updated on 2/7/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterology047323FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10006WOTHERFLORIDABCBS
2AJ581OTHERFLORIDAMEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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