JOHN JAMES DITMARS, JR. DPM, PC (NPI# 1023286382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023286382 |
| Entity Type | Organization |
| Organization Name | JOHN JAMES DITMARS, JR. DPM, PC |
| Practice Address |
1620 W Elm St El Reno OK 73036-4202 |
| Mailing Address |
Po Box 717 El Reno OK 73036-0717 |
| Practice Telephone | 4052626613 |
| Practice Fax Number | 4052621088 |
| Mailing Telephone | 4052626613 |
| Mailing Fax Number | 4052621088 |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2010-03-04 |
| Authorized Official Name | DR. JOHN JAMES DITMARS JR. (PRESIDENT) |
| Authorized Official Telephone | 4052626613 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
142 | OK | Podiatric Medicine & Surgery Service Providers |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 142 | OK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200275890 B | 05 |
| Street Address |
1620 W ELM ST |
| City | EL RENO |
| State | OK |
| Zip Code | 73036-4202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033140983 | John James Ditmars Jr. | Podiatrist | 1620 W Elm St, El Reno, OK 73036-4202 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154931293 | Morganne Eaton | Counselor | 7777 E U.S. Rte 66, El Reno, OK 73036 | 2020-08-04 |
| 1669934436 | Mikaila Marie Martin | Case Manager/Care Coordinator | 600 South Choctaw, El Reno, OK 73036 | 2019-04-02 |
| 1023573250 | Aja D'lin Woods | Counselor | 7777 E Rte 66, El Reno, OK 73036 | 2019-02-01 |
| 1033694229 | Matt Alan Matthews | Counselor | 7401-7799 Rte 66, El Reno, OK 73036 | 2018-10-03 |
| 1629553771 | Cierra Chapa | Registered Nurse | 600 S. Choctaw, El Reno, OK 73036 | 2018-09-25 |
| 1548766934 | Theresa Arlene Byard | Counselor | 7401-7799 E Us Hwy 66, El Reno, OK 73036 | 2018-04-04 |
| 1669991360 | Melissa Larimore | Counselor | 7565 E Hwy 66, El Reno, OK 73036 | 2017-09-13 |
| 1174045561 | Jordan Garcia | Counselor | 7565 E. Hwy 66, El Reno, OK 73036 | 2017-07-07 |
| 1073034179 | Starr L Johnson | Counselor | 7777 Rte 66, El Reno, OK 73036 | 2017-06-29 |
| 1295190593 | Roger Dale Wantland | Physical Therapist | 1901 Parkway Drive, Elreno, OK 73036 | 2015-12-31 |
| Find all providers in zip 73036 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194964544 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1550 Sw 27th St, El Reno, OK 73036-5852 | 2009-02-09 |
| 1265442164 | Canadian Valley Rx, Inc. | Durable Medical Equipment & Medical Supplies | 1605 W. Elm Street, El Reno, OK 73036 | 2006-08-09 |
| 1932126042 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2400 S Country Club Rd, El Reno, OK 73036-5801 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870700 | Madison Medical, LLC | Durable Medical Equipment & Medical Supplies | 701 Cedar Lake Blvd Ste 151, Oklahoma City, OK 73114-7818 | 2020-10-28 |
| 1962013938 | Oklahoma Sleep Group LLC | Durable Medical Equipment & Medical Supplies | 2900 Nw 156th St, Edmond, OK 73013-2102 | 2020-08-13 |
| 1912516469 | Nature's Assist, LLC | Durable Medical Equipment & Medical Supplies | 4815 S Harvard Ave Ste 501, Tulsa, OK 74135-3069 | 2020-07-29 |
| 1144838392 | A Better Sleep LLC | Durable Medical Equipment & Medical Supplies | 5215 E 71st St Ste 1900, Tulsa, OK 74136-6347 | 2020-07-14 |
| 1033737606 | Redbud Physical Therapy LLC | Durable Medical Equipment & Medical Supplies | 12641 S Highway 51, Coweta, OK 74429 | 2020-07-10 |
| 1023632122 | Craig Mathew Hall | Durable Medical Equipment & Medical Supplies | 2540 N Moore Ave, Moore, OK 73160-3328 | 2020-06-04 |
| 1083236269 | Kareemah Mahasan Muhammad | Durable Medical Equipment & Medical Supplies | 1127 N Osage Dr, Tulsa, OK 74106-6909 | 2020-05-11 |
| 1154942654 | Priority Home Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 517 S 30th St, Clinton, OK 73601-3632 | 2020-05-06 |
| 1679193882 | Lil Dme LLC | Durable Medical Equipment & Medical Supplies | 20 E 9th St Ste 101, Shawnee, OK 74801-6987 | 2020-04-17 |
| 1609405950 | Alpine Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 738 E 8th St, Warner, OK 74469-7446 | 2020-04-07 |
| Find all providers with the same taxonomy | ||||
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| 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.