Active NPI
Jerry L Titko, DPM
- Podiatrist
- Cincinnati, OH
National Provider Identifier
1780677013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 1359
- Practice address
- 7344 Hamilton Ave
Cincinnati, OH 45231 - Phone
- (513) 729-4455
- Fax
- (513) 728-4861
- NPI assigned
- Aug 23, 2005
- 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 | 1359 | OH | Primary |
Addresses
Primary practice location
7344 Hamilton Ave
Cincinnati, OH 45231
Mailing address
7344 Hamilton Ave
Cincinnati, OH 45231
Phone (513) 729-4455
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8810255 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1359 | OH | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Podiatry of Hamilton Inc | Podiatrist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Podiatrist
- Liberty Township, OH
- NPI 1396841532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366588800000",
"number": "1780677013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7344 HAMILTON AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45231",
"telephone_number": "513-729-4455",
"fax_number": "513-728-4861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7344 HAMILTON AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45231",
"telephone_number": "513-729-4455",
"fax_number": "513-728-4861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TITKO",
"first_name": "JERRY",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-23",
"last_updated": "2013-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "OH",
"license": "1359",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8810255",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.