EASTERN PODIATRY PLLC NPI 1104692219

NPI Information

  • NPI: 1104692219
  • Provider Name: EASTERN PODIATRY PLLC
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • Address: 3701 188TH ST SW
    LYNNWOOD, WA
    ZIP 98037
  • Phone: (718) 972-5000

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NPI Details

EASTERN PODIATRY PLLC is a podiatrist in Lynnwood, WA. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. EASTERN PODIATRY PLLC NPI is 1104692219. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3701 188TH ST SW
LYNNWOOD, WA
ZIP 98037-626
Phone: (718) 972-5000

The provider's authorized official is Alan R Tajerstein .
The authorized official title is Owner and has the following contact phone number (718) 972-5000.

The enumeration date for this NPI number is 11/29/2023 and was last updated on 11/29/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatristYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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