Provider Demographics
NPI:1225015803
Name:OATMAN, TREMAINE BOOTH (DPM)
Entity Type:Individual
Prefix:DR
First Name:TREMAINE
Middle Name:BOOTH
Last Name:OATMAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7665 MENTOR AVE
Mailing Address - Street 2:#347
Mailing Address - City:MENTOR
Mailing Address - State:OH
Mailing Address - Zip Code:44060-5409
Mailing Address - Country:US
Mailing Address - Phone:440-974-1775
Mailing Address - Fax:440-974-9572
Practice Address - Street 1:8250 WINTHROP CT
Practice Address - Street 2:
Practice Address - City:MENTOR
Practice Address - State:OH
Practice Address - Zip Code:44060-5949
Practice Address - Country:US
Practice Address - Phone:440-974-1775
Practice Address - Fax:440-974-9572
Is Sole Proprietor?:No
Enumeration Date:2005-12-27
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36001994213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
000120549OtherMOUNTAIN STATE BCBS
C 0490622OtherUNITED AMERICAN
E00341500302OtherAETNA
000000133008OtherANTHEM BCBS
000120549OtherHIGHMARK BLUE SHIELD
480001665OtherPALMETTO GBA RR MEDICARE
OH0454100Medicaid
34-1500302OtherBANKERS LIFE & CASUALTY
341500302000001OtherKAISER FOUNDATION OHIO
341500302OtherBCBS OF ALABAMA
341500302TOtherBCBS OF ILLINOIS
341500302-004OtherMEDICAL MUTUAL