- Practice location
- 1707 W Charleston Blvd Ste 160, Las Vegas, NV 89102-2354
- Phone
- 702-671-5150
- Fax
- 702-384-6493
- Last updated
- April 12, 2022
Jeremy Anderson is a Surgery, Surgical Critical Care based in Las Vegas, NV. Jeremy Anderson practices in Las Vegas, NV and has the professional credentials of DO. The NPI Number for Jeremy Anderson is 1457732760 and holds a License No. DO2732 (NV). The current practice location address for Jeremy Anderson is 1707 W Charleston Blvd Ste 160, Las Vegas, NV 89102-2354 and can be reached out via phone at 702-671-5150 and via fax at 702-384-6493.
Provider Profile Details
- NPI Number
- 1457732760
- Provider Name
- Jeremy Anderson
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1707 W Charleston Blvd Ste 160, Las Vegas, NV 89102-2354
- Phone Number
- 702-671-5150
- Fax Number
- 702-384-6493
- Primary Taxonomy
- Surgery, Surgical Critical Care · 2086S0102X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 11, 2015
- Last Update Date
- April 12, 2022
- Certification Date
- April 12, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1707 W Charleston Blvd Ste 160
Las Vegas, NV 89102-2354 - City
- Las Vegas
- State
- Nevada
- Zip
- 89102-2354
- Phone Number
- 702-671-5150
- Fax Number
- 702-384-6493
Provider Business Mailing Address Details
- Address
- 3016 W Charleston Blvd Ste 100
Las Vegas, NV 89102-1973 - City
- Las Vegas
- State
- NV
- Zip
- 89102-1973
- Phone Number
- 702-780-7118
License Information
- License Number (1)
- DO2732
- License State (1)
- NV
- Taxonomy (1)
- Surgery · 208600000X
- License Number (2)
- DO2732
- License State (2)
- NV
- Taxonomy (2)
- Surgery, Trauma Surgery · 2086S0127X
- Taxonomy (3)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (4)
- DO2732
- License State (4)
- NV
- Taxonomy (4)
- Surgery, Surgical Critical Care · 2086S0102X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Jeremy Anderson, DO?
The NPI number of Dr. Jeremy Anderson, DO is 1457732760. It was assigned on June 11, 2015 and is currently active in the NPPES registry.
What is the specialty of Dr. Jeremy Anderson, DO?
Dr. Jeremy Anderson, DO is registered under the primary taxonomy Surgery, Surgical Critical Care (code 2086S0102X), licensed in NV under license number DO2732.
Where does Dr. Jeremy Anderson, DO practice?
The practice location is 1707 W Charleston Blvd Ste 160, Las Vegas, NV 89102-2354. The office can be reached at 702-671-5150 (phone) or 702-384-6493 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1457732760 directly on the NPPES registry website.