EASTERN PODIATRY
NPI 1568509016
Podiatrist - Foot & Ankle Surgery in Las Vegas, NV

Q: What is Eastern Podiatry LLC's NPI number?

The NPI number for Eastern Podiatry LLC is 1568509016. It was assigned to this organization in the NPPES registry on January 31, 2007. The provider is doing business as Eastern Podiatry.

Q: What is Eastern Podiatry LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Active since January 31, 2007

3777 S. PECOS MCLEOD, SUITE 103, LAS VEGAS, NV 89121(702) 434-2023(702) 434-1976 Get Directions Write a Review

NPPES record last updated: November 2, 2010. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Eastern Podiatry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EASTERN PODIATRY (NPI 1568509016) is a healthcare organization registered as a foot & ankle surgery in Las Vegas, Nevada and active in the NPI registry since January 2007. The organization lists Jeremy W. Wood, President, as its authorized official.

NPPES Registry Identity

NPI1568509016

Entity TypeOrganization

Primary Taxonomy213ES0103X

Legal Business NameEASTERN PODIATRY LLC

Location Address3777 S. PECOS MCLEOD, SUITE 103Las Vegas, NV 89121-4265

Mailing Address3777 S. Pecos Mcleod, Suite 103Las Vegas, NV 89121-4265 · (702) 434-2023 · Fax (702) 434-1976

Phone(702) 434-2023

Fax(702) 434-1976

Organization SubpartNo

Authorized OfficialJeremy W. WoodPresident · (702) 434-2023

Enumeration DateJanuary 31, 2007

Last NPPES UpdateNovember 2, 2010

✔ NPI 1568509016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in NV · 0040

3777 S. PECOS MCLEOD, Las Vegas, NV 89121

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Other Names 1

Doing Business AsEastern Podiatry

Other Identifiers 3

Medicare NSC0926600001NV

Medicare PINV31535NV

OtherC03159NV · Mrr

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAMES ALBERT FAUSETT D.P.M.

Podiatrist (Foot & Ankle Surgery)

3777 S. PECOS MCLEOD, SUITE 103
LAS VEGAS, NV 89121

Clark County (702) 434-2023

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eastern Podiatry LLC's NPI number?

The NPI number for Eastern Podiatry LLC is 1568509016. It was assigned to this organization in the NPPES registry on January 31, 2007. The provider is doing business as Eastern Podiatry.

Where is Eastern Podiatry LLC located?

Eastern Podiatry LLC is located at 3777 S. Pecos Mcleod Suite 103, Las Vegas, NV 89121. The listed phone number is (702) 434-2023.

What is Eastern Podiatry LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Eastern Podiatry LLC was last updated on November 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.