Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jeremy Anderson, DO

Individual provider Surgery Physician · NPI 1457732760

Dr. Jeremy Anderson, DO is a General Surgery in Las Vegas, Nevada. Graduated from Arizona College of Osteopathic Medicine Mid Western University in 2015, 11 years ago. Practices with Banner Physician Specialists Arizona LLC, a 372-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
11
Trained at
Arizona College of Osteopathic Medicine Mid Western University
Licensed in
NV
In the registry since
2015
Specialties on file
4
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1707 W Charleston Blvd Ste 160
Las Vegas, NV 89102-2354
Phone: (702) 671-5150
Fax: (702) 384-6493
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Medical Center Dr Ste 162, Stratford, NJ 08084-1500 — (856) 566-6708

Specialties & licences

Surgical Critical Care Physician (primary) Taxonomy 2086S0102X · Licence DO2732 (NV)
Surgery Physician Taxonomy 208600000X · Licence DO2732 (NV)
Trauma Surgery Physician Taxonomy 2086S0127X · Licence DO2732 (NV)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1457732760
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 11, 2015
Last updated in NPPESApril 12, 2022
Certification dateApril 12, 2022
Mailing address3016 W Charleston Blvd Ste 100, Las Vegas, NV 89102-1973

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduated 2015 (11 years in practice)
Group practice Banner Physician Specialists Arizona Llc — 372 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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