Provider Demographics
NPI:1346301694
Name:TREMAINE B. OATMAN, D.P.M., INC.
Entity Type:Organization
Organization Name:TREMAINE B. OATMAN, D.P.M., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TREMAINE
Authorized Official - Middle Name:BOOTH
Authorized Official - Last Name:OATMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:440-974-1775
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36.001994213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
000120549OtherHIGHMARK BLUE SHIELD
DF4324OtherPALMETTO GBA RR MEDICARE
000000133008OtherANTHEM BCBS
C 0490622OtherUNITED AMERICAN
000120549OtherMOUNTAIN STATE BCBS
OH2857305Medicaid
OH2857305Medicaid
=========000001OtherKAISER FOUNDATION OHIO
=========TOtherBCBS OF ILLINOIS
DF4324OtherPALMETTO GBA RR MEDICARE
=========-004OtherMEDICAL MUTUAL
E00=========OtherAETNA