OrganizationActive
Eastern Podiatry LLC
NPI 1568509016 · Foot & Ankle Surgery Podiatrist · Las Vegas, NV
Provider details
- NPI number
- 1568509016
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Jeremy Wood, President(702) 434-2023
- License
- 0040 (NV)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3777 S. Pecos Mcleod
Suite 103
Las Vegas, NV 89121-4265
Phone: (702) 434-2023
Fax: (702) 434-1976
Street-level locationGet directions
Mailing address
3777 S. Pecos Mcleod
Las Vegas, NV 89121-4265
Other names (DBA / former)
- Doing business as
- Eastern Podiatry
Registry dates
- Enumerated
- 2007-01-31
- Last updated
- 2010-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.