Organization Active NPI

Nathaniel Hamm DPM, LLC

  • Foot & Ankle Surgery Podiatrist
  • Berea, OH
National Provider Identifier
1700268406
Registry record updated Apr 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36.003717 Issued in OH
Legal business name
NATHANIEL HAMM DPM, LLC
Practice address
429 Front St
Berea, OH 44017-1716
Phone
(440) 243-6660
Fax
(844) 270-2783
NPI assigned
Jun 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2016

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

Authorized official

Name
Nathaniel Andrew Hamm, D.P.M.
Title
Owner
Phone
(614) 325-9460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 36.003717 OH Primary

Addresses

Primary practice location

429 Front St
Berea, OH 44017-1716

Mailing address

429 Front St
Berea, OH 44017-1716
Phone (440) 243-6660

Other identifiers 1

IdentifierTypeStateIssuer
0127093MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459728000000",
    "number": "1700268406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 FRONT ST",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440171716",
            "telephone_number": "440-243-6660",
            "fax_number": "844-270-2783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 FRONT ST",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440171716",
            "telephone_number": "440-243-6660",
            "fax_number": "844-270-2783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHANIEL HAMM DPM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-18",
        "last_updated": "2016-04-04",
        "status": "A",
        "authorized_official_last_name": "HAMM",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-325-9460",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36.003717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0127093",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berea, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; 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.