Organization Active NPI

Jeremy Perse, DPM, LLC

  • Foot & Ankle Surgery Podiatrist
  • Cleveland, OH
National Provider Identifier
1659989275
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
JEREMY PERSE, DPM, LLC
Practice address
2401 Scranton Rd
Cleveland, OH 44113-4313
Phone
(216) 284-3077
Fax
(216) 331-6834
NPI assigned
Jul 20, 2020
Last updated
Dec 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Authorized official

Name
Jeremy A Perse, DPMNPI 1811243397
Title
Owner
Phone
(216) 284-3077

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
Foot & Ankle Surgery Podiatrist 213ES0103X NU Primary

Addresses

Primary practice location

2401 Scranton Rd
Cleveland, OH 44113-4313

Mailing address

PO Box 771545
Lakewood, OH 44107-0061
Phone (216) 363-7402

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230727000425 OH Part B Supplier - Clinic/Group Practice 8628496452 Receives reassigned benefits from 1 practitioner
Practice locations: Cleveland, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702339200000",
    "number": "1659989275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 771545",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441070061",
            "telephone_number": "216-363-7402",
            "fax_number": "216-363-2796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 SCRANTON RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441134313",
            "telephone_number": "216-284-3077",
            "fax_number": "216-331-6834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMY PERSE, DPM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-20",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A",
        "authorized_official_last_name": "PERSE",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-284-3077",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.