JAMAL P. JETER (NPI# 1124165931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124165931 |
| Entity Type | Individual |
| Full Name | JAMAL P. JETER |
| Credential | DPM |
| Practice Address |
30915 Lorain Rd Ste 114 North Olmsted OH 44070-4722 |
| Mailing Address |
30915 Lorain Rd North Olmsted OH 44070-4722 |
| Practice Telephone | 4404714970 |
| Practice Fax Number | 4406176065 |
| Mailing Telephone | 4404714970 |
| Mailing Fax Number | 4406176065 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2018-05-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 36-003234 | OH | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2220206 | 05 |
| Street Address |
30915 LORAIN RD STE 114 |
| City | NORTH OLMSTED |
| State | OH |
| Zip Code | 44070-4722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679947097 | Traveling Foot Doctors | Podiatrist | 30915 Lorain Rd Ste 114, North Olmsted, OH 44070-4722 | 2015-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801270517 | Residence Home Care LLC | Home Health | 30701 Lorain Rd, Suite B, North Olmsted, OH 44070 | 2015-07-13 |
| 1205265188 | Audra Maria Popik | Counselor | 6758 Warrington Dr, North Olmsted, OH 44070 | 2013-11-01 |
| 1891092128 | Michael J Skoda | Counselor | 26777 Lorain Rd Ste 403, North Olmsted, OH 44070 | 2011-02-23 |
| 1679875058 | Nathan T Stuckey | Pharmacist | 5737 Decker Rd, North Olmsted, OH 44070 | 2010-11-17 |
| 1710216874 | Tracey Powell Blake | Respiratory Therapist, Registered | 23916 Elm Road, North Olmsted, OH 44070 | 2009-12-18 |
| 1598911356 | St. Clarence Geac | Assisted Living Facility | 30344 Lorain Rd., North Olmsted, OH 44070 | 2008-08-13 |
| 1568597870 | Shannon Marie Gorman | Home Health Aide | 3801 Brendan Lane, C4, North Olmsted, OH 44070 | 2007-02-23 |
| 1902980097 | Arthur Jeffrey Schechtman | Dentist | 920 Great Northern Mall, North Olmstead, OH 44070 | 2006-10-25 |
| 1417054305 | Marta Takacs | Psychologist | 4859 Dover Center Rd #9, N Olmsted, OH 44070 | 2006-09-20 |
| 1245336643 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 832 Great Northern Mall, North Olmsted, OH 44070 | 2006-09-15 |
| Find all providers in zip 44070 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629049051 | Stephen Charles Musser | Podiatrist | 25043 Lorain Rd, North Olmsted, OH 44070-2054 | 2006-02-01 |
| 1932324076 | Thomas R Woods | Podiatrist | 30915 Lorain Rd, Suite 114, North Olmsted, OH 44070-4722 | 2007-04-16 |
| 1649342759 | Stephen Musser Dpm, Inc. | Podiatrist | 25043 Lorain Rd, North Olmsted, OH 44070-2054 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518950 | Mobile Foot Care Specialists, L.L.C. | Podiatrist | 38752 Renwood Ave, Avon, OH 44011-5229 | 2020-11-06 |
| 1275159345 | Buckeye Foot Care | Podiatrist | 5105 Som Center Rd Ste 102, Willoughby, OH 44094-4203 | 2020-06-24 |
| 1285289439 | Brent L. Rubin & Associates Inc | Podiatrist | 755 W South Boundary St, Perrysburg, OH 43551-5226 | 2019-08-05 |
| 1902467459 | Zaccardelli and Ritz | Podiatrist | 5556 Ridge Rd, Parma, OH 44129-2305 | 2019-06-25 |
| 1134786635 | Integrity Foot and Ankle Associates, LLC | Podiatrist | 1740 Cooper Foster Park Rd W Ste B, Lorain, OH 44053-4201 | 2019-05-21 |
| 1891351185 | Foot and Ankle Specialists of Central Ohio LLC | Podiatrist | 1 Healthy Place, Suite 202, Pataskala, OH 43062-7067 | 2019-05-13 |
| 1376109660 | Foot and Ankle Specialists of Central Ohio LLC | Podiatrist | 65 E Granville St, Sunbury, OH 43074-9130 | 2019-05-13 |
| 1770149296 | Foot and Ankle Specialists of Central Ohio, LLC | Podiatrist | 6002 E. Main Street, Columbus, OH 43213-3355 | 2019-05-10 |
| 1295390268 | Greenberg Foot and Ankle | Podiatrist | 1989 Miamisburg Centerville Rd Ste 200, Dayton, OH 45459-3858 | 2019-05-06 |
| 1083278287 | Kburtondpm LLC | Podiatrist | 662 Seagull Ct, Westerville, OH 43082-8534 | 2019-04-24 |
| Find all providers with the same taxonomy | ||||
| City | NORTH OLMSTED |
| Zip Code | 44070 |
Please comment or provide details below to improve the information on JAMAL P. JETER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.