Organization Active NPI

Jeremy Arron Schwartz DPM LTD

Doing business as Complete Podiatry Care

  • Podiatrist
  • Evanston, IL
National Provider Identifier
1306411624
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
JEREMY ARRON SCHWARTZ DPM LTD
Doing business as
Complete Podiatry Care
Practice address
3580 Grove St
Evanston, IL 60203-1821
Phone
(847) 370-8362
NPI assigned
May 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jeremy Schwartz, DPMNPI 1861739484
Title
Owner
Phone
(847) 370-8362

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

3580 Grove St
Evanston, IL 60203-1821

Mailing address

3580 Grove St
Evanston, IL 60203-1821
Phone (847) 370-8362

Other names 1

  • Complete Podiatry Care Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL PracticeFusion.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230112001870 IL Part B Supplier - Clinic/Group Practice 9133599913 Receives reassigned benefits from 2 practitioners
Practice locations: Evanston, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1306411624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3580 GROVE ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602031821",
            "telephone_number": "847-370-8362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3580 GROVE ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602031821",
            "telephone_number": "847-370-8362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMY ARRON SCHWARTZ DPM LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-20",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-370-8362",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "PracticeFusion.com",
            "affiliation": "N",
            "address_1": "3580 Grove St",
            "city": "Evanston",
            "state": "IL",
            "country_code": "US",
            "postal_code": "602031821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Complete Podiatry Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.