DR. JOHN JAMES DITMARS JR. (NPI# 1033140983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033140983 |
| Entity Type | Individual |
| Full Name | DR. JOHN JAMES DITMARS JR. |
| Credential | DPM |
| Practice Address |
1620 W Elm St El Reno OK 73036-4202 |
| Mailing Address |
Po Box 610 El Reno OK 73036-0610 |
| Practice Telephone | 4052626613 |
| Practice Fax Number | 4052621088 |
| Mailing Telephone | 4052626613 |
| Mailing Fax Number | 4052621088 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2013-06-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 142 | OK | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100780220A | 05 | |
| OK | RR MEDICARE | 480019883 | 01 |
| OK | BLUE CROSS & BLUE SHIELD | 73-1490445-003 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760884811 | John Haynes Ditmars | Acupuncturist | 363 Bone Hollow Rd, Accord, NY 12404-5340 | 2014-09-19 |
| Street Address |
1620 W ELM ST |
| City | EL RENO |
| State | OK |
| Zip Code | 73036-4202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023286382 | John James Ditmars, Jr. Dpm, PC | Podiatrist | 1620 W Elm St, El Reno, OK 73036-4202 | 2008-02-20 |
| 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 | 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 |
|---|---|---|---|---|
| 1184235921 | Integrity Diabetic Shoes, Inc | Podiatrist | 117 N Garfield Ave, Sand Springs, OK 74063-7214 | 2020-08-14 |
| 1760949499 | Tushka Corp | Podiatrist | 2609 Highwood Pl, Claremore, OK 74017-4884 | 2019-02-28 |
| 1619475696 | Tulsa Podiatry Clinics LLC | Podiatrist | 416 W 15th St Ste 500c, Edmond, OK 73013-3672 | 2018-01-25 |
| 1518327089 | Mathew James Johnstone | Podiatrist | 1000 N Lincoln Blvd Ste 3400, Oklahoma City, OK 73104-3252 | 2016-02-26 |
| 1639438237 | Jason A. Lashley, D.p.m. | Podiatrist | 600 W. 15th, Edmond, OK 73013 | 2012-05-16 |
| 1073871265 | Benjamin Beecher Harkess | Podiatrist | 4140 W Memorial Rd Ste 421, Oklahoma City, OK 73120-8300 | 2012-04-25 |
| 1871863258 | Oklahoma Senior Podiatry Services, P.C. | Podiatrist | 3208 Brush Creek Rd., Oklahoma City, OK 73120-1852 | 2012-01-03 |
| 1437488384 | Edgar Paul Ledoux | Podiatrist | 215 E Choctaw, Ste 105, Mcalester, OK 74501 | 2009-12-23 |
| 1629305149 | Greater Tulsa Foot & Ankle Center, Pllc | Podiatrist | 3540 E. 31st Street, Suite 2, Greater Tulsa Foot & Ankle Center, Pllc, Tulsa, OK 74135 | 2009-11-04 |
| 1710154471 | Jeremy M Mason | Podiatrist | 5711 E 71 St, # 115, Tulsa, OK 74136 | 2008-05-13 |
| 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.