MEDICARE: DR. JEFFREY MICHAEL FERRITTO D.P.M.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	36-00-1903	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000115763	OTHER		ANTHEM BC/BS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043218506
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY MICHAEL FERRITTO D.P.M.

Provider Business Mailing Address
First Line	:	3713 S HIGH ST
Second Line	:	PO BOX 365
City	:	COLUMBUS
State	:	OH
Zip	:	43207-4011
Country	:	US
Telephone Number	:	614-497-3066
Fax Number	:	614-497-3068

Provider Business Practice Location Address
First Line	:	3713 S HIGH ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43207-4011
Country	:	US
Telephone Number	:	614-497-3066
Fax Number	:	614-497-3068

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2005
Last Update Date	:	04/14/2014

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