Jason John Jerisha in Deerfield - Podiatrist
Jason John Jerisha - NPI 1467402388
Jason John Jerisha is a Podiatrist in Deerfield, Illinois. Jason John Jerisha practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Jason John Jerisha is 1467402388. The last update date is 2008-05-09.
Jason John Jerisha's current location address is 775 Waukegan Rd, Deerfield, Illinois. You can contact this provider via phone number 8003170711 and fax number 8004347113. The mailing address for Jason John Jerisha is 775 Waukegan Rd, Deerfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason John Jerisha |
|---|---|
| Address | 775 Waukegan Rd, Deerfield, Illinois |
| Phone Number | 8003170711 |
| Fax Number | 8004347113 |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1467402388 |
|---|---|
| Provider Enumeration Date | 2006-05-11 |
| Last Updated Date | 2008-05-09 |
Provider Mailing Address Detail
| Address | 775 Waukegan Rd |
|---|---|
| City | Deerfield |
| State | Illinois (IL) |
| Post Code | 6001543420 |
| Phone Number | 8003170711 |
| Fax Number | 8004347113 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 36-003416 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 543939 | OH | ANTHEM BCBS | |
| 377305 | OH | ANTHEM BCBS | |
| 2589819 | OH | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jason John Jerisha by the Centers for Medicare & Medicaid Services?
The Jason John Jerisha has been assigned the NPI (National Provider Identifier) 1467402388 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Jason John Jerisha?
The Jason John Jerisha is physically situated at 775 Waukegan Rd, in the city of Deerfield, state of IL, with the postal code 6001543420.
What is the Jason John Jerisha's area of specialization and corresponding taxonomy classification?
The Jason John Jerisha's specialty field is Podiatrist, and it falls under the taxonomy code 213E00000X, which categorizes healthcare providers based on their specialties.
On what date did Jason John Jerisha receive its 1467402388 assignment from the Centers for Medicare & Medicaid Services?
The Jason John Jerisha was assigned its 1467402388 on 2006-05-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Jason John Jerisha most recently updated or revised?
The information pertaining to Jason John Jerisha, including its address, specialty, and other relevant details, was last updated or revised on 2008-05-09.
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