Individual
DR. JARED MATTHEW MAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
400 NORTHPOINTE CIR STE 102, SEVEN FIELDS, PA 16046-7867
(724) 687-8790
Mailing address
400 NORTHPOINTE CIR STE 102, SEVEN FIELDS, PA 16046-7867
(724) 687-8790
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
016005848
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
36.003725
OH
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC006216
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102981304-0004
—
PA
01
—
HH882Y
MEDICARE PTAN
FL
Enumeration date
03/22/2011
Last updated
04/22/2024
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