Jerome M Privitera Dpm, Inc. in Mentor - Primary Podiatric Medicine
Jerome M Privitera Dpm, Inc. - NPI 1700969102
Jerome M Privitera Dpm, Inc. is a Primary Podiatric Medicine in Mentor, Ohio. Jerome M Privitera Dpm, Inc. practices all healthcare services and medical treatments related to Primary Podiatric Medicine. The NPI Number for Jerome M Privitera Dpm, Inc. is 1700969102. The last update date is 2012-10-15.
Jerome M Privitera Dpm, Inc.'s current location address is 9485 Mentor Ave, Mentor, Ohio. You can contact this provider via phone number 4402055878 and fax number 4402055875. The mailing address for Jerome M Privitera Dpm, Inc. is 9485 Mentor Ave, Mentor, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jerome M Privitera Dpm, Inc. |
|---|---|
| Address | 9485 Mentor Ave, Mentor, Ohio |
| Phone Number | 4402055878 |
| Fax Number | 4402055875 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Privitera M Jerome |
| Credentials | DPM |
| Telephone Number | 4402055878 |
NPI Number Detail
| NPI Number | 1700969102 |
|---|---|
| Provider Enumeration Date | 2006-10-23 |
| Last Updated Date | 2012-10-15 |
Provider Mailing Address Detail
| Address | 9485 Mentor Ave |
|---|---|
| City | Mentor |
| State | Ohio (OH) |
| Post Code | 440608723 |
| Phone Number | 4402055878 |
| Fax Number | 4402055875 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Podiatric Medicine |
|---|---|
| Taxonomy | 213Ep1101X |
| Licence No | OH001535 |
|
Definition: A doctor of podiatric medicine expert in general podiatry health services related to medical diagnoses and treatment of the foot, ankle and lower extremities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2310654 | OH | -- | |
| 2310636 | OH | -- | |
| 2310663 | OH | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Jerome M Privitera Dpm, Inc. by the Centers for Medicare & Medicaid Services?
The Jerome M Privitera Dpm, Inc. has been issued the NPI (National Provider Identifier) 1700969102. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Jerome M Privitera Dpm, Inc.'s facilities are geographically located?
The facilities of Jerome M Privitera Dpm, Inc. are physically situated at the following location: 9485 Mentor Ave, Mentor, OH, 440608723.
What is the area of specialization for Jerome M Privitera Dpm, Inc., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jerome M Privitera Dpm, Inc. is Primary Podiatric Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 213Ep1101X.
On what date did Jerome M Privitera Dpm, Inc. receive its 1700969102 assignment from the Centers for Medicare & Medicaid Services?
The Jerome M Privitera Dpm, Inc. was assigned its 1700969102 on 2006-10-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Jerome M Privitera Dpm, Inc., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jerome M Privitera Dpm, Inc., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-10-15.
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