Organization Active NPI

Tremaine B. Oatman, D.P.M., Inc.

  • Podiatrist
  • Mentor, OH
National Provider Identifier
1346301694
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36.001994 Issued in OH
Legal business name
TREMAINE B. OATMAN, D.P.M., INC.
Practice address
8250 Winthrop CT
Mentor, OH 44060-5949
Phone
(440) 974-1775
Fax
(440) 974-9572
NPI assigned
Dec 12, 2006
Organization subpart
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

Authorized official

Name
Dr. Tremaine Booth Oatman, D.P.M.NPI 1225015803
Title
President
Phone
(440) 974-1775

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 36.001994 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 6

IdentifierTypeStateIssuer
000120549OtherHIGHMARK BLUE SHIELD
DF4324OtherPALMETTO GBA RR MEDICARE
000000133008OtherANTHEM BCBS
C 0490622OtherUNITED AMERICAN
000120549OtherMOUNTAIN STATE BCBS
2857305MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070213000206 OH Part B Supplier - Clinic/Group Practice 1850393315 Receives reassigned benefits from 1 practitioner
Practice locations: Cleveland, OH; Fairlawn, OH; Mentor, OH; Minerva, OH; Streetsboro, OH

National Provider Directory

National Provider Directory

Locations

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

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666137600000",
    "number": "1346301694",
    "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": {
        "organization_name": "TREMAINE B. OATMAN, D.P.M., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A",
        "authorized_official_last_name": "OATMAN",
        "authorized_official_first_name": "TREMAINE",
        "authorized_official_middle_name": "BOOTH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-974-1775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36.001994",
            "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": "DF4324",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000133008",
            "state": null
        },
        {
            "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": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2857305",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.