JAMES EDWIN PROMMERSBERGER (DPM) – Podiatrist, NPI 1073584686
Excluded from federal healthcare programs (Medicare/Medicaid)
This provider is listed on the OIG List of Excluded Individuals/Entities (LEIE). Exclusion effective: 2022-01-19. Reason: Conviction of program-related crimes (mandatory; min. 5 years).
Podiatrist
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Provider Addresses for JAMES EDWIN PROMMERSBERGER (DPM)
940, Windham Court, Boardman, Boardman Township, Mahoning County, Ohio, 44512, United States
SUITE #3
BOARDMAN, OH 445125060
Phone: (330) 726-3348
Fax: (330) 726-3856
Mailing address matches the actual address.
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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Insurance plans in this area (ZIP 44512)
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