Individual provider Active NPI

Jeffrey Michael Ferritto, D.P.M.

  • Podiatrist
  • Columbus, OH
National Provider Identifier
1043218506
Registry record updated Apr 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36-00-1903 Issued in OH
Practice address
3713 S High St
Columbus, OH 43207-4011
Phone
(614) 497-3066
Fax
(614) 497-3068
NPI assigned
Jul 8, 2005
Last updated
Apr 14, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36-00-1903 OH Primary

Addresses

Primary practice location

3713 S High St
Columbus, OH 43207-4011

Mailing address

3713 S High St
PO Box 365
Columbus, OH 43207-4011
Phone (614) 497-3066

Other identifiers 2

IdentifierTypeStateIssuer
0457241MedicaidOH
000000115763OtherANTHEM BC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1647OHMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397433600000",
    "number": "1043218506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3713 S HIGH ST",
            "address_2": "PO BOX 365",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432074011",
            "telephone_number": "614-497-3066",
            "fax_number": "614-497-3068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3713 S HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432074011",
            "telephone_number": "614-497-3066",
            "fax_number": "614-497-3068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRITTO",
        "first_name": "JEFFREY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2014-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36-00-1903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0457241",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000115763",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.