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James Edwin Prommersberger, DPM
Foot & Ankle Surgery Podiatrist in Boardman, Ohio
NPI 1073584686

James Edwin Prommersberger is a Foot & Ankle Surgery Podiatrist based in Boardman, OH and is specialized in Foot & Ankle Surgery. James Edwin Prommersberger practices in Boardman, OH and has the professional credentials of DPM. The NPI Number for James Edwin Prommersberger is 1073584686 and holds a License No. 36-00-2619 (Ohio).

The current practice location address for James Edwin Prommersberger is 940 Windham Ct, Boardman, OH and can be reached out via phone at 330-726-3348 and via fax at 330-726-3856.

Location: 940 Windham Ct, Boardman, OH, 44512-5060
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073584686
Provider Name
James Edwin Prommersberger
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
940 Windham Ct, Boardman, OH, 44512-5060
Phone Number
330-726-3348
Fax Number
330-726-3856
Provider Enumeration Date
01/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0774194 05 OH
000000177949 01 OH ANTHEM
P00199462 01 OH MEDICARE TRAVELERS
000601363 01 WV BLUE SHIELD MOUNTAIN STATE
0099572000 01 WV MEDICAID WV
institution
Provider Business Practice Location Address Details
Address
940 Windham Ct
City
Boardman
State
Ohio
Zip
44512-5060
Phone Number
330-726-3348
Fax Number
330-726-3856
person
Provider Business Mailing Address Details
Address
940 Windham Ct
City
Boardman
State
Ohio
Zip
44512-5060
Phone Number
330-726-3348
Fax Number
330-726-3856
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
36-00-2619 (Ohio)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
36-00-2619 (Ohio)
Definition
Definition to come...
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