DR. THOMAS HAROLD LANDON (NPI# 1073568382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073568382 |
| Entity Type | Individual |
| Full Name | DR. THOMAS HAROLD LANDON |
| Credential | MD |
| Practice Address |
300 Medical Plz Ste 310 Lake St Louis MO 63367-1484 |
| Mailing Address |
Po Box 955534 Saint Louis MO 63195-5534 |
| Practice Telephone | 6366252662 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2020-10-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 2014012158 | MO | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | 35561 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RR MEDICARE | P00004666 | 01 | |
| TN | DEA | BL4702177 | 01 |
| AETNA | 3759065 | 01 | |
| TN | CIGNA | 7845411 | 01 |
| BCBS | 4057350 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 901 Patients First Dr, Washington, MO 630904700 | 6362395155 | 6362391478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861620676 | Thomas Edward Landon Jr. | Nurse Practitioner | 38 Pass Rd A, Gulfport, MS 39507-3107 | 2009-06-30 |
| 1073515672 | Thomas W Landon | Orthopaedic Surgery | 4140 Centennial Hills Blvd, Ste A, Casper, WY 82609-3265 | 2005-08-12 |
| Street Address |
300 MEDICAL PLZ STE 310 |
| City | LAKE ST LOUIS |
| State | MO |
| Zip Code | 63367-1484 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205819034 | Charles Robert Hartman Jr. | Surgery | 300 Medical Plz Ste 310, Lake St Louis, MO 63367-1484 | 2005-11-25 |
| 1609272897 | Victoria Lal | Nurse Practitioner | 300 Medical Plz Ste 310, Lake St Louis, MO 63367-1484 | 2014-11-14 |
| 1558565077 | Deborah W La Scola | Specialist | 300 Medical Plz Ste 310, Lake St Louis, MO 63367-1484 | 2007-06-11 |
| 1730101874 | Joseph Franklin Rodemann | Internal Medicine | 300 Medical Plz Ste 310, Lake St Louis, MO 63367-1484 | 2006-07-25 |
| 1255362430 | Thomas Mark Leibold | Surgery | 300 Medical Plz Ste 310, Lake St Louis, MO 63367-1484 | 2006-07-05 |
| 1295796118 | David A. Nickel | Surgery | 300 Medical Plz Ste 310, Lake St Louis, MO 63367-1484 | 2006-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295376697 | Stacy Brown | Counselor | 1216 Flagstone Terrace, Lake St. Louis, MO 63367 | 2019-10-07 |
| 1083172449 | Katie D Schmidt | Nurse Practitioner | 300 Medical Plz Ste 150, Lake St Louis, MO 63367 | 2019-03-05 |
| 1932639739 | Eren Taylor-scaggs | Social Worker | 112 Lake St. Louis Blvd, Lake St. Louis, MO 63367 | 2017-06-14 |
| 1184169203 | Be The Change Counseling Services | Community/Behavioral Health | 206 Centre On The Lake, Lake St. Louis, MO 63367 | 2016-12-28 |
| 1568812535 | Brittanie Weinhaus | Family Medicine | 6261 Ronald Regan Dr Ste #b19, Lake St. Louis, MO 63367 | 2016-06-20 |
| 1821445099 | Matt Beamer | Skilled Nursing Facility | 2885 Technology Drive, Lake St. Louis, MO 63367 | 2016-05-18 |
| 1710349642 | Jennifer Gandolfo | Early Intervention Provider Agency | 710 Abbottsford Ct., Lake St. Louis, MO 63367 | 2016-03-21 |
| 1760862361 | Joaquin Francisco Sumaya | Chiropractor | 11104 Veterans Memorial Pkwy., Lake Saint Louis, MO 63367 | 2015-06-09 |
| 1619214566 | Daniel Scott Terry | Counselor | 1000 Edgewater Pt Ste 401, Lake St Louis, MO 63367 | 2013-01-12 |
| 1437415551 | Cherie Jean Coletta | Nurse Practitioner | 100 Medical Plaza Dr, Emergency Department, Lake Saint Louis, MO 63367 | 2012-04-03 |
| Find all providers in zip 63367 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992865026 | Jeffrey S Glaser Md Facs LLC | Urology | 10890 Veterans Memorial Pkwy, Lake St Louis, MO 63367-1475 | 2006-12-11 |
| 1679556401 | Jeffrey Scott Glaser | Urology | 10890 Veterans Memorial Parkway, Lake St Louis, MO 63367-1381 | 2005-11-25 |
| 1568618494 | Kimberly C Berni Md LLC | Urology | 10890 Veterans Memorial Pkwy, Lake St Louis, MO 63367-1475 | 2008-08-12 |
| 1245289677 | Kimberly Crawford Berni | Urology | 10890 Veterans Memorial Parkway, Lake St Louis, MO 63367 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225699408 | Garth Sherman | Urology | 1 Hospital Dr # Mc301, Columbia, MO 65201-5276 | 2019-06-27 |
| 1902326622 | Alexander Anderson | Urology | 1 Hospital Drive University of Missouri Mc404, Columbia, MO 65212-0001 | 2017-06-23 |
| 1649633736 | Jack Campbell | Urology | 3101 Belinda Ct, Columbia, MO 65203-3848 | 2016-04-05 |
| 1962834390 | Midwest Urology Center, PC | Urology | 1905 W 32nd St Ste 302, Joplin, MO 64804-1512 | 2013-08-08 |
| 1932463940 | Brandi Dawn Miller | Urology | 1965 S Fremont Ave Ste 370, Springfield, MO 65804-2284 | 2012-06-25 |
| 1437412582 | Andrew T Blackburne | Urology | 11155 Dunn Rd Ste 309e, Saint Louis, MO 63136 | 2012-06-22 |
| 1699049395 | Harry L. Ellis | Urology | 5034 S Glenhaven Ave, Springfield, MO 65804-7804 | 2012-02-28 |
| 1083902852 | Gurdarshan S Sandhu | Urology | 607 South New Ballas Road, Suite 3100, Saint Louis, MO 63141 | 2011-07-14 |
| 1457672446 | Christopher D Jaeger | Urology | 112 Piper Hill Dr Ste 12, Saint Peters, MO 63376-1690 | 2010-06-14 |
| 1538486816 | Centerpoint Medical Specialists LLC | Urology | 725 Nw State Route 7, Suite C, Blue Springs, MO 64014-2426 | 2010-04-27 |
| Find all providers with the same taxonomy | ||||
| City | LAKE ST LOUIS |
| Zip Code | 63367 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.