MEDICARE: JEFFREY A. HALPERT DPM, LLC

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	002495	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	CN6929	OTHER	OH	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447596069
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JEFFREY A. HALPERT DPM, LLC

Provider Business Mailing Address
First Line	:	5625 RIDGE RD
Second Line	:
City	:	PARMA
State	:	OH
Zip	:	44129-2633
Country	:	US
Telephone Number	:	440-884-4100
Fax Number	:	440-884-4742

Provider Business Practice Location Address
First Line	:	785 E ROYALTON RD
Second Line	:
City	:	BROADVIEW HTS
State	:	OH
Zip	:	44147-2530
Country	:	US
Telephone Number	:	440-884-4100
Fax Number	:	440-884-4742

Authorized Official
Title or Position	:	BUSINESS MANAGER
Name	:	JEFFREY A HALPERT
Credential	:	DPM
Telephone Number	:	440-884-4100

Provider Enumeration Date	:	12/31/2012
Last Update Date	:	10/14/2015

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Directions to “JEFFREY A. HALPERT DPM, LLC ” Practice Location

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