Individual
DR. JOHN JAMES DITMARS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1620 W ELM ST, EL RENO, OK 73036-4202
(405) 262-6613
(405) 262-1088
Mailing address
PO BOX 610, EL RENO, OK 73036-0610
(405) 262-6613
(405) 262-1088
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
142
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100780220A
—
OK
01
—
480019883
RR MEDICARE
OK
01
—
73-1490445-003
BLUE CROSS & BLUE SHIELD
OK
Enumeration date
07/06/2006
Last updated
06/06/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us