Provider Demographics
NPI:1194154104
Name:FESLER, JEFFREY (DPM)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:
Last Name:FESLER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5746 MILLS CREEK LANE
Mailing Address - Street 2:
Mailing Address - City:NORTH RIDGEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44039
Mailing Address - Country:US
Mailing Address - Phone:440-829-9649
Mailing Address - Fax:
Practice Address - Street 1:1930 STATE ROUTE 59 STE D
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:OH
Practice Address - Zip Code:44240-4112
Practice Address - Country:US
Practice Address - Phone:330-673-3505
Practice Address - Fax:330-673-4888
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-11
Last Update Date:2019-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH003769213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery