James Edwin Prommersberger in Boardman - Foot & Ankle Surgery
James Edwin Prommersberger - NPI 1073584686
James Edwin Prommersberger is a Foot & Ankle Surgery in Boardman, Ohio. James Edwin Prommersberger practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for James Edwin Prommersberger is 1073584686. The last update date is 2008-06-02.
James Edwin Prommersberger's current location address is 940 Windham Ct, Boardman, Ohio. You can contact this provider via phone number 3307263348 and fax number 3307263856. The mailing address for James Edwin Prommersberger is 940 Windham Ct, Boardman, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Edwin Prommersberger |
|---|---|
| Address | 940 Windham Ct, Boardman, Ohio |
| Phone Number | 3307263348 |
| Fax Number | 3307263856 |
| Sole Proprietor | Y |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1073584686 |
|---|---|
| Provider Enumeration Date | 2006-01-31 |
| Last Updated Date | 2008-06-02 |
Provider Mailing Address Detail
| Address | 940 Windham Ct |
|---|---|
| City | Boardman |
| State | Ohio (OH) |
| Post Code | 445125060 |
| Phone Number | 3307263348 |
| Fax Number | 3307263856 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | 36-00-2619 |
|
Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 774194 | OH | -- | |
| 177949 | OH | ANTHEM | |
| P00199462 | OH | MEDICARE TRAVELERS | |
| 601363 | WV | BLUE SHIELD MOUNTAIN STATE | |
| 99572000 | WV | MEDICAID WV |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to James Edwin Prommersberger by the Centers for Medicare & Medicaid Services?
The James Edwin Prommersberger has been assigned the NPI (National Provider Identifier) 1073584686 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where James Edwin Prommersberger's facilities are situated?
The facilities of James Edwin Prommersberger are physically located at the following address: 940 Windham Ct, Boardman, OH, 445125060.
What is James Edwin Prommersberger's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for James Edwin Prommersberger is Foot & Ankle Surgery, and the taxonomy classification code that categorizes this area of expertise is 213Es0103X.
On what date did the Centers for Medicare & Medicaid Services issue the 1073584686 to James Edwin Prommersberger?
The James Edwin Prommersberger received its 1073584686 assignment from the Centers for Medicare & Medicaid Services on 2006-01-31.
When was the information regarding James Edwin Prommersberger, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to James Edwin Prommersberger, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-06-02.