DR. JASON JOHN JERISHA DPM NPI 1467402388

NPI Information

NPI: 1467402388
Provider Name: DR. JASON JOHN JERISHA, DPM
Classification: Podiatrist - 213E00000X
Entity Type: Individual
Address:
775 WAUKEGAN RD
SUITE 200
DEERFIELD, IL
ZIP 60015
Phone: (800) 317-0711
Get Directions

DR. Jason John Jerisha, DPM is a podiatrist in Deerfield, IL. The provider is 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. DR. Jason John Jerisha, DPM NPI is 1467402388. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

775 WAUKEGAN RD
SUITE 200
DEERFIELD, IL
ZIP 60015-342
Phone: (800) 317-0711
Fax: (800) 434-7113

The enumeration date for this NPI number is 5/11/2006 and was last updated on 5/9/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213E00000X	Podiatrist		36-003416	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2589819	MEDICAID	OHIO
2	P00258274	MEDICARE PIN	OHIO
3	JE4165501	MEDICARE PIN	OHIO
4	V05926	MEDICARE UPIN	OHIO
5	JE4165502	MEDICARE PIN	OHIO
6	000000543939	OTHER	OHIO	ANTHEM BCBS
7	000000377305	OTHER	OHIO	ANTHEM BCBS
8	P00466343	MEDICARE PIN	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »