Active NPI
Traveling Foot Doctors
- Primary Podiatric Medicine Podiatrist
- North Olmsted, OH
National Provider Identifier
1679947097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- Legal business name
- TRAVELING FOOT DOCTORS
- Practice address
- 30915 Lorain Rd Ste 114
North Olmsted, OH 44070-4722 - Phone
- (440) 617-6061
- NPI assigned
- Nov 23, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jamal Jeter
- Title
- DPM
- Phone
- (216) 470-8782
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | Primary |
Addresses
Primary practice location
30915 Lorain Rd Ste 114
North Olmsted, OH 44070-4722
Mailing address
30915 Lorain Rd
North Olmsted, OH 44070-4722
Phone (440) 617-6061
Other names 1
- Traveling Foot Doctors LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160115001192 | OH | Part B Supplier - Clinic/Group Practice | 2365745866 |
Receives reassigned benefits from 6 practitioners Practice locations: North Olmsted, OH |
National Provider Directory
National Provider DirectoryLocations
30692 Lorain Rd
North Olmsted, OH 44070
Phone (440) 471-4970
30915 Lorain Rd
Ste 114
North Olmsted, OH 44070
Phone (440) 471-4970
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Chagrin Falls, OH
- NPI 1992932941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1452643200000",
"number": "1679947097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30915 LORAIN RD",
"city": "NORTH OLMSTED",
"state": "OH",
"postal_code": "440704722",
"telephone_number": "440-617-6061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30915 LORAIN RD STE 114",
"city": "NORTH OLMSTED",
"state": "OH",
"postal_code": "440704722",
"telephone_number": "440-617-6061"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRAVELING FOOT DOCTORS",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-23",
"last_updated": "2016-01-13",
"status": "A",
"authorized_official_last_name": "JETER",
"authorized_official_first_name": "JAMAL",
"authorized_official_title_or_position": "DPM",
"authorized_official_telephone_number": "216-470-8782"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Traveling Foot Doctors LLC",
"code": "5",
"type": "Other Name"
}
]
}Other providers in North Olmsted, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; 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.