James Edwin Prommersberger is a Boardman, Ohio based male podiatrist who is specialized in Podiatry. Active license number of James Edwin Prommersberger for Podiatry is 36-00-2619 in Ohio. James Edwin Prommersberger 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:
James Edwin Prommersberger 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
Gender:
Male
Practice Address:
940 Windham Ct, Suite #3, Boardman, Ohio, 44512-5060
Phone:
330-726-3348
Fax:
330-726-3856
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.
NPI Number:
1073584686
NPI Enumeration Date:
31 Jan, 2006
NPI Last Update On:
02 Jun, 2008
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for James Edwin Prommersberger are as mentioned below.
License Number
Specialization
State
Status
36-00-2619
Podiatry
Ohio
Primary
36-00-2619
Podiatric Foot & Ankle Surgery
Ohio
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with James Edwin Prommersberger such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0774194
Medicaid
Ohio
000000177949
Other
Ohio
ANTHEM
P00199462
Other
Ohio
MEDICARE TRAVELERS
000601363
Other
West Virginia
BLUE SHIELD MOUNTAIN STATE
0099572000
Other
West Virginia
MEDICAID WV
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
940 Windham Ct, Suite #3 Boardman, Ohio
Zip:
44512-5060
Phone Number:
330-726-3348
Fax Number:
330-726-3856
Patients can reach James Edwin Prommersberger at 940 Windham Ct, Suite #3, Boardman, Ohio or can call to book an appointment on 330-726-3348. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
Comments/ Reviews:
Similar Podiatrist in Boardman, OH
Dr. John A Flauto, DPM 26+ yr exp.Speciality: Podiatrist - Foot & Ankle Surgery Address: 1499 Boardman Canfield Rd, OH Phone: 330-758-0577 Fax: 330-729-2749