NPIMap

Organization Active NPI

Jamal Jeter DPM LLC

  • Podiatrist
  • Westlake, OH
National Provider Identifier
1942495999
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
JAMAL JETER DPM LLC
Practice address
2880 Danielle Dr
Westlake, OH 44145-4758
Phone
(216) 470-8782
NPI assigned
Sep 12, 2007
Last updated
Oct 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

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

Authorized official

Name
Dr. Jamal Jeter, DPMNPI 1124165931
Title
Owner
Phone
(216) 470-8782

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X Primary

Addresses

Primary practice location

2880 Danielle Dr
Westlake, OH 44145-4758

Mailing address

2880 Danielle Dr
Westlake, OH 44145-4758
Phone (216) 470-8782

Other identifiers 1

IdentifierTypeStateIssuer
DD6058OtherOHPALMETTO GBA RETIRED

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317859200000",
    "number": "1942495999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 DANIELLE DR",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441454758",
            "telephone_number": "216-470-8782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 DANIELLE DR",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441454758",
            "telephone_number": "216-470-8782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMAL JETER DPM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2011-10-06",
        "status": "A",
        "authorized_official_last_name": "JETER",
        "authorized_official_first_name": "JAMAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-470-8782",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RETIRED",
            "identifier": "DD6058",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.