Jerome M Privitera Dpm, Inc.
LBN: Jerome M Privitera Dpm, Inc.
Jerome M Privitera Dpm, Inc. is an health care organization with primary practice located at 9485 Mentor Ave Suite 200, Mentor OH 44060-8723. The organization recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is the primary health care specialty.
Jerome M Privitera Dpm, Inc. can be contacted via phone (440) 205-5878, or through Privitera, Jerome M via phone (440) 205-5878.
Contact Information
Primary practice address
9485 Mentor Ave Suite 200
Mentor OH 44060-8723
Phone: (440) 205-5878
Fax: (440) 205-5875
Website:
Authorized official contact:
Name: Privitera, Jerome M Doctor of Podiatric Medicine (DPM)
Phone: (440) 205-5878
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | OH001535 | Ohio |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | OH002454 | Ohio |
Profile Details
| NPI number | 1700969102 |
|---|---|
| LBN Legal business name | Jerome M Privitera Dpm, Inc. |
| DBA Doing business as | |
| Authorized official | Privitera, Jerome M Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 23rd, 2006 |
| Last updated | Oct 15th, 2012 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700969102 | NPPES |
| Ohio | MEDICAID | 2310654 | |
| Ohio | MEDICAID | 2310636 | |
| Ohio | MEDICAID | 2310663 |
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