Organization Active NPI

John Eric Decato DPM Inc

  • Podiatrist
  • Ashtabula, OH
National Provider Identifier
1487874947
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
JOHN ERIC DECATO DPM INC
Practice address
3903 Lake Ave
Ashtabula, OH 44004-5833
Phone
(440) 992-4477
Fax
(440) 998-5452
NPI assigned
Apr 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

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

Authorized official

Name
Dr. John Eric Decato, DPM
Title
President
Phone
(440) 992-4477

Specialties & licenses 1

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

Addresses

Primary practice location

3903 Lake Ave
Ashtabula, OH 44004-5833

Mailing address

3903 Lake Ave
Ashtabula, OH 44004-5833
Phone (440) 992-4477

Other identifiers 1

IdentifierTypeStateIssuer
0905015MedicaidOH

National Provider Directory

National Provider Directory

Locations

8007 Auburn Rd
Ste 2
Concord Township, OH 44077
Phone (440) 296-5915

8007 Auburn Rd
Concord Township, OH 44077
Phone (440) 375-5520

890 W Main St
Ste 202
Geneva, OH 44041
Phone (440) 285-5004

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1487874947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3903 LAKE AVE",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440045833",
            "telephone_number": "440-992-4477",
            "fax_number": "440-998-5452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 LAKE AVE",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440045833",
            "telephone_number": "440-992-4477",
            "fax_number": "440-998-5452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN ERIC DECATO DPM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "DECATO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-992-4477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0905015",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashtabula, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; 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.