Jeffrey Kreutzberg, DPM
Individual provider Active NPI Foot & Ankle Surgery Podiatrist · Marblehead, OH
NPI 1841684669 · NPPES record last updated Mar 19, 2015
Key facts
- NPI
- 1841684669
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- License
- 36.001863 (OH)
- Practice address
- 1114 Lake St
Marblehead, OH 43440-2034 - Phone
- (419) 341-9208
- NPI assigned
- Mar 19, 2015
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36.001863 | OH | MD | Foot & Ankle Surgery Podiatrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 36.001863 | OH | Yes |
Addresses
Primary practice location
1114 Lake St
Marblehead, OH 43440-2034
Mailing address
1114 Lake St
Marblehead, OH 43440-2034
Phone (419) 341-9208
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0 | Other | OH | NONE |
Other providers in Marblehead, OH
- Leslie A Follman-Pollard
- Stephanie Marie Scherger Gonya
- Allison Lea Holzaepfel
- Steven Peter Jackson
- Shirley Kinney
- Michelle Ann Laney
- Dorinda Laughman
- Christian A Mahler
- Megan Rakosky
- Dillon Michael Ringeisen
All providers in Marblehead, OH · Foot & Ankle Surgery Podiatrist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.