Jerome M Privitera in Mentor - Foot & Ankle Surgery
Jerome M Privitera - NPI 1639173628
Jerome M Privitera is a Foot & Ankle Surgery in Mentor, Ohio. Jerome M Privitera practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Jerome M Privitera is 1639173628. The last update date is 2008-01-21.
Jerome M Privitera'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 is 9485 Mentor Ave, Mentor, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerome M Privitera |
|---|---|
| Address | 9485 Mentor Ave, Mentor, Ohio |
| Phone Number | 4402055878 |
| Fax Number | 4402055875 |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1639173628 |
|---|---|
| Provider Enumeration Date | 2005-06-08 |
| Last Updated Date | 2008-01-21 |
Provider Mailing Address Detail
| Address | 9485 Mentor Ave |
|---|---|
| City | Mentor |
| State | Ohio (OH) |
| Post Code | 4406087230 |
| Phone Number | 4402055878 |
| Fax Number | 4402055875 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | 2454 |
|
Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 799202 | OH | -- | |
| 791214 | OH | UNITED HEALTHCARE | |
| 242734 | OH | ANTHEM |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jerome M Privitera?
The Jerome M Privitera has been issued the NPI (National Provider Identifier) 1639173628 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Jerome M Privitera is geographically located?
The Jerome M Privitera is physically situated at the following location: 9485 Mentor Ave, Mentor, OH, 4406087230.
What is Jerome M Privitera's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jerome M Privitera is Foot & Ankle Surgery, and the taxonomy code that classifies this field of practice is 213Es0103X.
On what date was the 1639173628 assigned to Jerome M Privitera?
The Jerome M Privitera was issued its 1639173628 on 2005-06-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Jerome M Privitera, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jerome M Privitera, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-01-21.
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