Active NPI
Jon Dominic Oliverio, DPM
- Podiatrist
- Norton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 36-00-2891-0
- Practice address
- 1193 Norton Ave
Suite D
Norton, OH 44203-9516 - Phone
- (330) 825-7878
- Fax
- (330) 595-4729
- NPI assigned
- Jul 11, 2005
- Last updated
- Aug 1, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 36-00-2891-0 | OH | Primary |
Addresses
Primary practice location
1193 Norton Ave
Suite D
Norton, OH 44203-9516
Mailing address
1193 Norton Ave
Suite D
Norton, OH 44203-9516
Phone (330) 825-7878
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0156343 | Medicaid | OH | |
| P01815036 | Other | OH | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1193 Norton Ave
Suite D
Norton, OH 44203-9526
Phone (330) 825-7878
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 49 |
| Removal of skin lesions | 22 |
| Removal of nail tissue | 469 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2891 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foot & Ankle Institute, Inc | Podiatrist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Durable Medical Equipment & Medical Supplies
- Norton, OH
- NPI 1205901105
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Summa Health System Ignatia Hall South
- Substance Use Disorder Rehabilitation Clinic/Center
- Canton, OH
- NPI 1295036762
Hospital
-
- General Acute Care Hospital
- Akron, OH
- NPI 1396765681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501545600000",
"number": "1710985163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1193 NORTON AVE",
"address_2": "SUITE D",
"city": "NORTON",
"state": "OH",
"postal_code": "442039516",
"telephone_number": "330-825-7878",
"fax_number": "330-595-4729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1193 NORTON AVE",
"address_2": "SUITE D",
"city": "NORTON",
"state": "OH",
"postal_code": "442039516",
"telephone_number": "330-825-7878",
"fax_number": "330-595-4729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVERIO",
"first_name": "JON",
"middle_name": "DOMINIC",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-11",
"last_updated": "2017-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "OH",
"license": "36-00-2891-0",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0156343",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01815036",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norton, OH
- North East Ohio Spinal Aid LLC (Health Source of Norton)
- Norton City School District
- Norton Community Care, Inc.
- Norton Family Dentistry Inc.
- Ohio CVS Stores LLC (CVS Pharmacy #03355)
- Samuel Joseph Olsen, PMHNP-APRN
- Kobe Oppong
- Ann-Christine Orosz, LPC, CDCA
- Ovren Mobility Products
- Michael J Pappas, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.