Eastern Podiatry PLLC
NPI 1104692219ActiveOrganization· Podiatrist· Lynnwood, WA
Podiatrist in Lynnwood, Washington, registered in NPPES in November 2023. The authorized official on file is Alan R. Tajerstein, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1104692219 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 29, 2023 |
| Last updated in NPPES | Nov 29, 2023 |
| Certified by provider | Nov 29, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WA) |
|---|
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