Active NPI
Jeffrey Fesler, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Kent, OH
National Provider Identifier
1194154104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 003769
- Practice address
- 1930 State Route 59 Ste D
Kent, OH 44240-4112 - Phone
- (330) 673-3505
- Fax
- (330) 673-4888
- NPI assigned
- Nov 11, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 003769 | OH | Primary |
Addresses
Primary practice location
1930 State Route 59 Ste D
Kent, OH 44240-4112
Mailing address
5746 Mills Creek Lane
North Ridgeville, OH 44039
Phone (440) 829-9649
Other practice location 1
5746 Mills Creek Lane
North Ridgeville, OH 44039
Phone (440) 829-9649
Other practice location 2
2950 W Market St Ste H
Fairlawn, OH 44333-3614
Phone (330) 864-8501
Other practice location 3
201 5th St NE Ste 5
Barberton, OH 44203-3017
Phone (330) 864-8501
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 |
|---|---|---|---|
| 003769 | OH | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563062400000",
"number": "1194154104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5746 MILLS CREEK LANE",
"city": "NORTH RIDGEVILLE",
"state": "OH",
"postal_code": "44039",
"telephone_number": "440-829-9649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1930 STATE ROUTE 59 STE D",
"city": "KENT",
"state": "OH",
"postal_code": "442404112",
"telephone_number": "330-673-3505",
"fax_number": "330-673-4888"
}
],
"practiceLocations": [
{
"address_1": "5746 Mills Creek Lane",
"address_purpose": "LOCATION",
"city": "North Ridgeville",
"state": "OH",
"postal_code": "44039",
"country_code": "US",
"telephone_number": "440-829-9649",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2950 W Market St Ste H",
"address_purpose": "LOCATION",
"city": "Fairlawn",
"state": "OH",
"postal_code": "443333614",
"country_code": "US",
"telephone_number": "330-864-8501",
"fax_number": "330-864-8508",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "201 5th St NE Ste 5",
"address_purpose": "LOCATION",
"city": "Barberton",
"state": "OH",
"postal_code": "442033017",
"country_code": "US",
"telephone_number": "330-864-8501",
"fax_number": "330-864-8508",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FESLER",
"first_name": "JEFFREY",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-11-11",
"last_updated": "2019-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "OH",
"license": "003769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kent, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.