Dr. Jonathan Detommaso is a Fort Wayne, Indiana based male podiatrist with 12 years of experience in Podiatry. He completed his graduation from Kent State University College Of Podiatric Medicine in 2012. He is also affiliated with hospitals like The Orthopaedic Hospital Of Lutheran Health Networ and Cameron Memorial Community Hospital Inc. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Jonathan Detommaso for Podiatric Foot & Ankle Surgery is 07001204A in Indiana. Dr. Jonathan Detommaso is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Dr. Jonathan Detommaso speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Credentials:
DPM
Experience:
12+ years
Medical School Attended:
Kent State University College Of Podiatric Medicine
Graduation Year:
2012
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
7601 W Jefferson Blvd, Fort Wayne, Indiana, 46804-4133
Phone:
260-436-8686
Fax:
260-436-8585
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
2961713334
Enrollment ID:
I20150625002450
NPI Number:
1033476304
NPI Enumeration Date:
11 Apr, 2012
NPI Last Update On:
07 Nov, 2016
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jonathan Detommaso are as mentioned below.
License Number
Specialization
State
Status
07001204A
Podiatric Foot & Ankle Surgery
Indiana
Primary
07001204A
Podiatry
Indiana
Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
The Orthopaedic Hospital Of Lutheran Health Networ (150168)
Fort wayne, IN
Acute Care Hospital
Cameron Memorial Community Hospital Inc (151315)
Angola, IN
Critical Access Hospital
Lutheran Hospital Of Indiana (150017)
Fort wayne, IN
Acute Care Hospital
Dupont Hospital Llc(150150)
Fort wayne, IN
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Jonathan Detommaso is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Fort Wayne Orthopaedics, Llc (7618965286)
56
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Jonathan Detommaso such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
P01524125
Other
Indiana
RAILROAD MEDICARE
201289140
Medicaid
Indiana
000000934131
Other
Indiana
ANTHEM
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 2526, Fort Wayne, Indiana
Zip:
46801-2526
Phone Number:
866-401-3663
Fax Number:
260-407-4422
Patients can reach Dr. Jonathan Detommaso at 7601 W Jefferson Blvd, Fort Wayne, Indiana or can call to book an appointment on 260-436-8686. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.