JEROME M PRIVITERA DPM, INC.; NPI #1700969102

Contact Information

JEROME M PRIVITERA DPM, INC.

9485 MENTOR AVE
SUITE 200
MENTOR, OH 44060-8723

Phone: 440-205-5878
Fax: 440-205-5875
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Surgery, Foot & Ankle	213ES0103X	48	Podiatry
Primary Podiatric Medicine	213EP1101X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for JEROME M PRIVITERA DPM, INC.

NPI # 1700969102

LBN Legal business name JEROME M PRIVITERA DPM, INC.

Authorized official JEROME PRIVITERA - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/23/2006

Last updated 10/15/2012 - About 14 years ago

Identifiers

OH	License #	OH001535
OH	License #	OH002454
OH	Medicaid	2310636
OH	Medicaid	2310654
OH	Medicaid	2310663

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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JEROME M PRIVITERA DPM, INC.

Contact Information

Specialty

Surgery, Foot & Ankle

Primary Podiatric Medicine

NPI Profile & details for JEROME M PRIVITERA DPM, INC.

Reviews for JEROME M PRIVITERA DPM, INC.