Jess R Drezner, D.P.M.

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

SC002144L Issued in PA

Practice address

2603 Keiser Blvd
Suite 201
Wyomissing, PA 19610-3341

Phone

(610) 678-2776

Fax

(610) 678-5127

NPI assigned

Nov 28, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425945600000",
    "number": "1902889553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 KEISER BLVD",
            "address_2": "SUITE 201",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103341",
            "telephone_number": "610-678-2776",
            "fax_number": "610-678-5127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 KEISER BLVD",
            "address_2": "SUITE 201",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103341",
            "telephone_number": "610-678-2776",
            "fax_number": "610-678-5127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREZNER",
        "first_name": "JESS",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2015-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "PA",
            "license": "SC002144L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME",
            "identifier": "3980270001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Doyle
• Dr Mark Landau
• Dr. Scott Rosenthal, P.C.
• Paulette Cutruzzula Dreher, DO
• Mark J Dreibelbis, OTR/L CHT
• Jeffrey S. Driben, M.D.
• Susan E Dries, LPN
• Alanna Drobeck, MS, OTR/L
• Melissa L Dubois, M.D.
• Dakota A Dugan

• Foot Surgery Podiatrist in Wyomissing, PA
• Providers in Wyomissing, PA by specialty
• Foot Surgery Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.