Dr. Jonathan Detommaso
Podiatrist Foot & Ankle Surgery
7601 W Jefferson Blvd
Fort Wayne
, Indiana 46804-4133
Dr. Jonathan Detommaso
Podiatrist Foot & Ankle Surgery
7601 W Jefferson Blvd
Fort Wayne
, Indiana 46804-4133
(260) 407-4422
Write a Review Share Save Call
About
Features
Specialties
- Podiatrist
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Dr. Jonathan Detommaso
- Po Box 2526
- Fort Wayne, IN
- Zip : 46801-2526
- Fax : (260) 407-4422
- Phone : (866) 401-3663
Second Address
- Dr. Jonathan Detommaso
- 7601 W Jefferson Blvd
- Fort Wayne, IN
- Zip : 46804-4133
- Fax : (260) 436-8585
- Phone : (260) 436-8686
Reviews
FAQs
Where did Dr. Jonathan Detommaso attend graduate school?
Where did Dr. Jonathan Detommaso do his residency?
Where did Dr. Jonathan Detommaso do his fellowship?
Is Dr. Jonathan Detommaso board certified?
What type of doctor is Dr. Jonathan Detommaso
In what state does Dr. Jonathan Detommaso practice in?
Where is Dr. Jonathan Detommaso ’s practice located?
What is Dr. Jonathan Detommaso ’s gender?
Is Dr. Jonathan Detommaso a sole practitioner?
Is Dr. Jonathan Detommaso accepting new patients?
What languages does Dr. Jonathan Detommaso speak?
Does Dr. Jonathan Detommaso accept insurance?
Does Dr. Jonathan Detommaso offers telemedicine?
What is Dr. Jonathan Detommaso ’s professional license number?
What is Dr. Jonathan Detommaso ’s NPI number?
Does Dr. Jonathan Detommaso have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 07001204A | IN |
| N | 222Z00000X | Podiatrist | 07001204A | IN |
| Y | 213ES0103X | Foot & Ankle Surgery | 07001204A | IN |
National Provider Identifier
| NPI | 1033476304 |
|---|---|
| Provider Name | Dr. Jonathan Detommaso |
| First Address | Fort Wayne, IN 46801-2526 |
| Second Address | Fort Wayne, IN 46804-4133 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/04/2012 |
| Last Update Date | 07/11/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000934131 | ANTHEM (01) | IN |
| 201289140 | (05) | IN |
| P01524125 | RAILROAD MEDICARE (01) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.