Individual provider Active NPI

Tremaine Booth Oatman, D.P.M.

  • Podiatrist
  • Mentor, OH
National Provider Identifier
1225015803
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36001994 Issued in OH
Practice address
8250 Winthrop CT
Mentor, OH 44060-5949
Phone
(440) 974-1775
Fax
(440) 974-9572
NPI assigned
Dec 27, 2005
Last updated
Oct 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36001994 OH Primary

Addresses

Primary practice location

8250 Winthrop CT
Mentor, OH 44060-5949

Mailing address

7665 Mentor Ave
#347
Mentor, OH 44060-5409
Phone (440) 974-1775

Other identifiers 12

IdentifierTypeStateIssuer
000120549OtherHIGHMARK BLUE SHIELD
480001665OtherPALMETTO GBA RR MEDICARE
341500302OtherBCBS OF ALABAMA
341500302TOtherBCBS OF ILLINOIS
34-1500302OtherBANKERS LIFE & CASUALTY
000000133008OtherANTHEM BCBS
0454100MedicaidOH
C 0490622OtherUNITED AMERICAN
000120549OtherMOUNTAIN STATE BCBS
341500302-004OtherMEDICAL MUTUAL
341500302000001OtherKAISER FOUNDATION OHIO
E00341500302OtherAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20070213000175 OH Practitioner - Podiatry 2163424623 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8250 Winthrop CT
Mentor, OH 44060-5949
Phone (440) 974-1775

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue201
Removal or shaving of skin growth23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tremaine B. Oatman, D.P.M., Inc. Podiatrist CurrentSince Oct 1, 1982 Accepting new patients
Northeast Surgical Wound Care, Inc. Past Accepting new patients

Locations

500 Selfridge St
East Liverpool, OH 43920
Phone (330) 368-5500

18621 Neff Rd
Euclid, OH 44119
Phone (216) 486-0268

7665 Mentor Ave
Mentor, OH 44060
Phone (216) 347-4240

400 Carolyn Ct
Minerva, OH 44657
Phone (330) 868-4101

230 Continental Dr
#3
Salem, OH 44460
Phone (330) 337-9503

250 Continental Dr
#2
Salem, OH 44460
Phone (330) 337-9503

2511 Bentley Dr
#1
Salem, OH 44460
Phone (330) 337-9503

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1225015803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7665 MENTOR AVE",
            "address_2": "#347",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605409",
            "telephone_number": "440-974-1775",
            "fax_number": "440-974-9572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8250 WINTHROP CT",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605949",
            "telephone_number": "440-974-1775",
            "fax_number": "440-974-9572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OATMAN",
        "first_name": "TREMAINE",
        "middle_name": "BOOTH",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36001994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "000120549",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RR MEDICARE",
            "identifier": "480001665",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "341500302",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ILLINOIS",
            "identifier": "341500302T",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BANKERS LIFE & CASUALTY",
            "identifier": "34-1500302",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000133008",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0454100",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED AMERICAN",
            "identifier": "C 0490622",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOUNTAIN STATE BCBS",
            "identifier": "000120549",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL",
            "identifier": "341500302-004",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER FOUNDATION OHIO",
            "identifier": "341500302000001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "E00341500302",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

Verify at the official NPI Registry.