JAMAL JETER DPM LLC (NPI# 1942495999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942495999 |
| Entity Type | Organization |
| Organization Name | JAMAL JETER DPM LLC |
| Practice Address |
2880 Danielle Dr Westlake OH 44145-4758 |
| Practice Telephone | 2164708782 |
| Mailing Telephone | 2164708782 |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2011-10-06 |
| Authorized Official Name | DR. JAMAL JETER (OWNER) |
| Authorized Official Telephone | 2164708782 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | PALMETTO GBA RETIRED | DD6058 | 01 |
| Street Address |
2880 DANIELLE DR |
| City | WESTLAKE |
| State | OH |
| Zip Code | 44145-4758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720628902 | Inherent Basic Goodness Counseling, LLC | Social Worker | 24600 Center Ridge Road Suite 130, Westlake, OH 44145 | 2020-01-15 |
| 1700425030 | The Family Dentist of Westlake Jonathan J Klineman Dds Inc | Dentist | 26600 Detroit Rd Suite 230, Westlake, OH 44145 | 2020-01-03 |
| 1033772421 | Holding Space, LLC | Social Worker | 26404 Center Ridge Rd Building A1 Ste A7, Westlake, OH 44145 | 2019-04-21 |
| 1326532508 | Integrative Pain Care LLC | Durable Medical Equipment & Medical Supplies | 25200 Center Ridge Rd, Ste 3300, Westlake, OH 44145 | 2018-06-20 |
| 1841783990 | Wendy Lynn Wheeler | Counselor | 28263 Center Ridge Rd, Westlake, OH 44145 | 2018-06-13 |
| 1326557836 | Tiffany Manrodt | Social Worker | 24500 Center Ridge Road Bldg 4, #120, Westlake, OH 44145 | 2017-09-27 |
| 1639620792 | Stacy Ryan | Speech-Language Pathologist | 3057 Holly Lane, Westlake, OH 44145 | 2016-10-24 |
| 1790238954 | Kathleen Hanigosky | Pharmacist | 27175 Center Ridge Rd., Westlake, OH 44145 | 2016-07-25 |
| 1780073155 | Prominent Healthcare, Inc. | Community/Behavioral Health | 24650 Westlake Center Ridge Road, Westlake, OH 44145 | 2015-01-22 |
| 1902225022 | Amanda Brooke Abernathy | Physical Therapist | 850 Columbia Road, Suite #110, Westlake, OH 44145 | 2014-04-16 |
| Find all providers in zip 44145 | ||||
| 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 |
|---|---|---|---|---|
| 1477864338 | Rita Rae Fontenot | Podiatrist | 1403 Beech St, Westlake, LA 70669-4101 | 2010-06-25 |
| 1710103882 | Allen Buskey | Podiatrist | 29045 Fall River Dr, #4, Westlake, OH 44145-5234 | 2007-04-17 |
| 1700825080 | Robert G Testa | Podiatrist | 29099 Health Campus Dr Ste 290, Westlake, OH 44145-5280 | 2006-06-05 |
| 1205839032 | Anthony Polito | Podiatrist | 29099 Health Campus Dr, Bldg 3 Ste 180, Westlake, OH 44145-5200 | 2005-05-24 |
| 1538495130 | Adriana Raisa Krywiak | Podiatrist | 25200 Center Ridge Rd, Suite 2400, Westlake, OH 44145-4141 | 2009-11-02 |
| 1104015304 | Jason T Bakich Dpm LLC | Podiatrist | 29101 Health Campus Dr, Westlake, OH 44145-5270 | 2007-10-24 |
| 1205024429 | Anthony G Polito Dpm Inc | Podiatrist | 29099 Health Campus Dr, Bldg 3 Ste 180, Westlake, OH 44145-5200 | 2007-10-12 |
| 1891882296 | Elizabeth Marie Confalone | Podiatrist | 26908 Detroit Rd, #200, Westlake, OH 44145-2398 | 2006-10-06 |
| 1295774529 | Carol E Keshock | Podiatrist | 26908 Detroit Rd, Suite 200, Westlake, OH 44145-2398 | 2006-06-05 |
| 1578501003 | Margaret Alma Konecky | Podiatrist | 29505 Detroit Rd, Westlake, OH 44145-1932 | 2006-06-04 |
| Find all providers in WESTLAKE | ||||
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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.