John James Ditmars Jr., DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

142 Issued in OK

Practice address

1620 W Elm St
El Reno, OK 73036-4202

Phone

(405) 262-6613

Fax

(405) 262-1088

NPI assigned

Jul 6, 2006

Last updated

Jun 6, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• John James Ditmars, Jr. DPM, PC

  • Durable Medical Equipment & Medical Supplies
  • El Reno, OK
  • NPI 1023286382

  Podiatrist

  Medicare reassignment NPD Authorized official
• John James Ditmars, Jr. DPM PC

  • Durable Medical Equipment & Medical Supplies
  • Yukon, OK
  • NPI 1669642351

  Podiatrist

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370476800000",
    "number": "1033140983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 610",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "730360610",
            "telephone_number": "405-262-6613",
            "fax_number": "405-262-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 W ELM ST",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "730364202",
            "telephone_number": "405-262-6613",
            "fax_number": "405-262-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DITMARS",
        "first_name": "JOHN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2013-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OK",
            "license": "142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100780220A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "480019883",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "73-1490445-003",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamara Jane Carol Dawn Degenhardt, APRN
• Brooke Deluca
• Janessa Ann Dermer
• Keely R Detweiler
• Robert Charles Dicintio, PA-C
• Kristen Rae Dolf
• Camille Downs
• Ashley R Draper
• Melodie Duff, APRN
• Rhydonia Duggan

• Podiatrist in El Reno, OK
• Providers in El Reno, OK by specialty
• Podiatrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.