DR. JEREMY PERSE (NPI# 1811243397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811243397 |
Entity Type | Individual |
Full Name | DR. JEREMY PERSE |
Credential | DPM |
Practice Address |
10553 Saint Clair Ave Cleveland OH 44108-1973 |
Mailing Address |
30 W Monroe St Ste 1200 Chicago IL 60603-2420 |
Practice Telephone | 2166827702 |
Practice Fax Number | 2169206273 |
Mailing Telephone | 3127339730 |
Mailing Fax Number | 7738668014 |
Enumeration Date | 2012-08-02 |
Last Update Date | 2020-08-07 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
36-003674 | OH | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 0085043 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
3600 Franklin Blvd, Cleveland, OH 441132831 | 2163637733 | 2166317055 |
Street Address |
10553 SAINT CLAIR AVE |
City | CLEVELAND |
State | OH |
Zip Code | 44108-1973 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447526983 | Robert James Cromley II | Family Medicine | 10553 Saint Clair Ave, Cleveland, OH 44108-1973 | 2012-03-29 |
1962914366 | Isharon Benyette Reynolds | Nurse Practitioner | 10553 Saint Clair Ave, Cleveland, OH 44108-1973 | 2017-10-26 |
1699127381 | Stephanie Diane Kincaid | Social Worker | 10553 Saint Clair Ave, Cleveland, OH 44108-1973 | 2016-07-06 |
1205282084 | Mandisa Molton | Nurse Practitioner | 10553 Saint Clair Ave, Cleveland, OH 44108-1973 | 2016-05-10 |
1114284411 | Olaoluwa Oladipo Fayanju | Family Medicine | 10553 Saint Clair Ave, Cleveland, OH 44108-1973 | 2012-04-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407475080 | Fundamentals First Basketball Academy, LLC | Early Intervention Provider Agency | 977 Eddy Rd., Cleveland, OH 44108 | 2020-04-13 |
1891269395 | Kathy Rothenberg-james | Counselor | 11100 St. Clair Ave., J .glen Smith Health Center, Cleveland, OH 44108 | 2019-01-17 |
1043705353 | Tamara Dionne Lyles | Community Health Worker | 12717 Arlington Ave, Cleveland, OH 44108 | 2018-06-28 |
1215424619 | Michael Bivens | Home Health Aide | 12414 Lancelot Avenue, Cleveland, OH 44108 | 2018-04-20 |
1487163283 | Nakia S Smith | Naturopath | 10621 Dupont Ave, Cleveland, OH 44108 | 2017-09-25 |
1003362229 | Terrance Wilson | Home Health Aide | 10912 Olivet Ave, Cleveland, OH 44108 | 2016-08-28 |
1235598541 | Lashaun Walker | Home Health Aide | 10208 Kempton Ave, Cleveland, OH 44108 | 2016-02-15 |
1053709147 | Danielle R Pettus | Nurse's Aide | 12811 Brackland Ave, Apt 6, Cleveland, OH 44108 | 2014-12-26 |
1528467529 | Naomi Fleming | Licensed Practical Nurse | 368 Cleveland Road, Cleveland, OH 44108 | 2014-08-15 |
1417369646 | Camille Taylor | Home Health Aide | 696e.101st, Cleveland, OH 44108 | 2014-05-22 |
Find all providers in zip 44108 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629408703 | John N. Gernert | Podiatrist | 105 Keith St, Cleveland, TN 37311-1704 | 2013-11-26 |
1649315789 | My Foot Doctor Pllc | Podiatrist | 106 Stuart Rd Ne, Cleveland, TN 37312-4803 | 2007-02-20 |
1821190307 | Jonathon Lee Strickler | Podiatrist | 3000 Westside Dr Nw, Cleveland, TN 37312-3542 | 2006-09-03 |
1588649826 | Alan L. Wittenberg | Podiatrist | 17929 Euclid Ave, Cleveland, OH 44112-1221 | 2005-12-09 |
1407852767 | Donald Kushner | Podiatrist | 10701 E Blvd, Cleveland Dept of Veterans Affairs Medical Center, Cleveland, OH 44106 | 2005-06-22 |
1720081078 | Barry Schulman | Podiatrist | 52 Mouse Creek Rd Nw, Cleveland, TN 37312-4839 | 2005-05-31 |
1659989275 | Jeremy Perse, Dpm, LLC | Podiatrist | 2351 E 22nd St, Cleveland, OH 44115-3111 | 2020-07-20 |
1891357612 | Mitchell Bloomquist | Podiatrist | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2019-07-01 |
1295394294 | Jonathan Matthew Moss | Podiatrist | 2351 E 22nd St, Cleveland, OH 44115-3111 | 2019-06-12 |
1376109215 | Rizaldy Garcia | Podiatrist | Cleveland Clinic, 9500 Euclid Avenue/na23, Cleveland, OH 44195 | 2019-05-16 |
Find all providers in CLEVELAND |
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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.