A E LANDIS MD PC


Address: 417 Carriage Dr, Beckley, WV 25801-2805
Phone: 3042550459

A E LANDIS MD PC (NPI# 1407162696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407162696
Entity Type Organization
Organization Name A E LANDIS MD PC
Practice Address 417 Carriage Dr
Beckley
WV 25801-2805
Practice Telephone 3042550459
Practice Fax Number 3042523471
Mailing Telephone 3042550459
Mailing Fax Number 3042523471
Enumeration Date 2010-08-25
Last Update Date 2012-01-11
Authorized Official Name DR. ANDREW E LANDIS (PRESIDENT)
Authorized Official Telephone 3042550459
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
11229 WV Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
WV 1043284110 05

Office Location

Street Address 417 CARRIAGE DR
City BECKLEY
State WV
Zip Code 25801-2805

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043284110 Andrew E Landis Specialist 417 Carriage Dr, Beckley, WV 25801-2805 2006-02-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144835190 Misty Dawn Chambers Psychologist 154 Lagoon Way, Beckley, USA 25801 2020-09-15
1912511437 Katherine Lynne Mcghee Technician 120 Schlager Dr., Beckley, WV 25801 2020-09-02
1255942421 Tyesha Burger Technician 442 Industrial Dr, Beckley, WV 25801 2020-08-12
1053920553 Angela Sanches Case Manager/Care Coordinator 134 Gooseberry Ln, Beckley, WV 25801 2020-07-30
1871119933 Tiffani Michelle Dale Counselor 111 Coral Court, Apt 5, Beckley, WV 25801 2020-06-24
1679046049 Liberty Dental Centers Dentist 102 Galleria Plaza, Beckley, WV 25801 2019-01-08
1952884942 Susan Rae Rash Nurse Practitioner 250 Stanaford Rd Ste 203, Beckley, WV 25801 2018-09-14
1689169039 Megan Rae Walker Dentist 3153 Robert C. Byrd Drive, Beckley, WV 25801 2018-06-28
1104318625 Mountain State Vascular, Inc. Surgery 121 George Street, Beckley, WV 25801 2018-05-31
1356841100 Harper Road Treatment Center LLC Family Medicine 1802 Harper Rd Ste 202, Beckley, WV 25801 2018-02-19
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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972871358 Fmrs Health Systems Inc Clinic/Center 101 S Eisenhower Dr, Beckley, WV 25801-4929 2011-12-13
1225272214 New River Health Association, Inc. Clinic/Center 1614 S Kanawha St, Beckley, WV 25801-6239 2009-04-22
1972744522 Family Medical Imaging, LLC Clinic/Center 25 Mallard Ct, Beckley, WV 25801 2009-03-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1083178081 Robert Phares Pllc Clinic/Center 6 N Wind Way, Morgantown, WV 26508-1117 2019-01-24
1174099527 Wellness With Whitney, LLC Clinic/Center 1206 Virginia St E, Charleston, WV 25301-2945 2018-10-23
1124453964 West Virginia Health Right, Inc. Clinic/Center 1520 Washington St. E., Charleston, WV 25311 2013-09-12
1306178165 Usimc of West Virginia Medical Corporation Clinic/Center 3707 Buffalo Rd, Buffalo, WV 25033-9436 2010-02-04
1558696641 Lab Collection Specialists, LLC Clinic/Center 1505 Grand Central Ave Ste 9, Vienna, WV 26105-1074 2009-10-07
1346458023 Health Access, Inc. Clinic/Center 489 Washington Avenue, Clarksburg, WV 26301 2007-05-18
1952416265 Huntington Pediatric Clinic Inc Clinic/Center 1448 10th Ave Ste 313, Huntington, WV 25701-3554 2006-08-20
1750916011 Arvessa Skin Care Center LLC Clinic/Center 710 Somerset Blvd Ste 103, Charles Town, WV 25414-4998 2020-03-06
1093345894 Beyond Limits Mobile Outpatient Therapy, LLC Clinic/Center 41 Baltusrol Dr, Charles Town, WV 25414-3884 2020-01-21
1851793582 White Hall Pharmacy, LLC Clinic/Center 177 Middletown Rd Ste 2, Fairmont, WV 26554-8254 2014-09-25
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Competitor

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City BECKLEY
Zip Code 25801

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Dataset Information

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.

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