Active NPI
Nathaniel A Hamm, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Berea, OH
National Provider Identifier
1134477342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 59.000402
- Practice address
- 429 Front St
Berea, OH 44017-1716 - Phone
- (440) 243-6660
- Fax
- (844) 270-2783
- NPI assigned
- Aug 20, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 59.000402 | OH | Primary |
Addresses
Primary practice location
429 Front St
Berea, OH 44017-1716
Mailing address
429 Front St
Berea, OH 44017-1716
Phone (440) 243-6660
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
| License | State | Type | Specialty |
|---|---|---|---|
| 59.000402 | OH | MD | Foot & Ankle Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456185600000",
"number": "1134477342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "429 FRONT ST",
"city": "BEREA",
"state": "OH",
"postal_code": "440171716",
"telephone_number": "440-243-6660",
"fax_number": "844-270-2783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "429 FRONT ST",
"city": "BEREA",
"state": "OH",
"postal_code": "440171716",
"telephone_number": "440-243-6660",
"fax_number": "844-270-2783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMM",
"first_name": "NATHANIEL",
"middle_name": "A",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-08-20",
"last_updated": "2016-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "OH",
"license": "59.000402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berea, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.