DR. MARK EVAN LANDAU (NPI# 1447366349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447366349 |
Entity Type | Individual |
Full Name | DR. MARK EVAN LANDAU |
Credential | MD |
Practice Address |
8901 Wisconsin Ave Walter Reed National Military Medical Center Bethesda MD 20815 |
Practice Telephone | 3012954771 |
Mailing Telephone | 3012954771 |
Enumeration Date | 2006-08-22 |
Last Update Date | 2017-04-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
48556 | VA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164413316 | Mark Falon Landau | Optometrist | 555 Van Reed Rd, Wyomissing, PA 19610-1769 | 2005-11-04 |
1043875099 | Mark Jonathan Landau | Student in an Organized Health Care Education/Training Program | 11234 Anderson Street, Gme Office Westerly Suite C, Loma Linda, CA 92354-2804 | 2019-05-06 |
1194961185 | Mark J. Landau | Dentist | 4709 Golf Rd, Suite 809, Skokie, IL 60076-1231 | 2008-12-23 |
Street Address |
8901 WISCONSIN AVE WALTER REED NATIONAL MILITARY MEDICAL CENTER |
City | BETHESDA |
State | MD |
Zip Code | 20815 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093710246 | Rosemary Grace Carr-malone | Psychiatry & Neurology | 8901 Wisconsin Ave, Bethesda, MD 20889-5600 | 2005-06-15 |
1861017212 | Luke White | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-06-11 |
1538782545 | Alexander Pastino | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-05-26 |
1104449362 | Justin James De Vera | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-05-22 |
1881217180 | Reece Mckenzie | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-05-20 |
1073135695 | Alex Kim | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-05-18 |
1619599354 | Jacob Mickey Wyse | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-05-16 |
1770105413 | Anna M Russell | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-05-16 |
1699397364 | Jessica Nicole Clark | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-05-15 |
1558983296 | Mason Cleary Ditthardt Fortuno | Military Health Care Provider | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-05-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306456454 | Sarah Trandel-korenchuk | Nurse Practitioner | 4622 Norwood Drive, Chevy Chase, MD 20815 | 2020-08-04 |
1730709254 | Lorelyn Pierola | Physical Therapist | 8700 Jones Mill Road, Chevy Chase, MD 20815 | 2020-04-24 |
1194292391 | Bradley T Nguyen | Student in an Organized Health Care Education/Training Program | 5454 Wisconsic Ave, Bethesda, MD 20815 | 2018-10-26 |
1053897652 | Seth Parker Worthing | Orthopaedic Surgery | 5454 Wisconsin Ave Ste 1000, Chevy Chase, MD 20815 | 2018-07-17 |
1104310382 | Brendan F. Burke, M.d., L.L.C. | Obstetrics & Gynecology | 5530 Wisconsin Ave Ste 850, Chevy Chase, MD 20815 | 2018-06-20 |
1740778240 | Miriam Brazer | Student in an Organized Health Care Education/Training Program | 4810 Bradley Blvd, Chevy Chase, MD 20815 | 2018-04-30 |
1285131201 | Juventino Aceves | Speech-Language Pathologist | 5530 Wisconsin, Chevy Chase, MD 20815 | 2018-04-06 |
1386167351 | Seth A. Greenblatt | Social Worker | 2 Wisconsin Circle, Suite 700, Your Health Concierge, Inc, Bethesda, MD 20815 | 2017-07-21 |
1932636990 | Katelyn Marie Engbert | Registered Nurse | 4717 Morgan Dr, Chevy Chase, MD 20815 | 2017-05-20 |
1043752512 | Erin Leeland Nes | Marriage & Family Therapist | 4405 East West Highway Suite 408, Bethesda, MD 20815 | 2016-11-15 |
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Taxonomy Code | 2084N0600X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Clinical Neurophysiology |
Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588701023 | Tanya J. Lehky | Psychiatry & Neurology | 10 Center Drive Nih, Building 10, Crc, Room 7-5680, Bethesda, MD 20892-0001 | 2007-02-01 |
1740393628 | Robert Joseph Hedaya | Psychiatry & Neurology | 7717 Oldchester Rd, Bethesda, MD 20817-6277 | 2006-08-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003978040 | Margaret Adams | Psychiatry & Neurology | 8388 Court Ave Ste 203, Ellicott City, MD 21043-4514 | 2006-12-15 |
1144395393 | Neuromonitoring Physicians, LLC | Psychiatry & Neurology | 9115 Kendale Rd, Potomac, MD 20854-4512 | 2006-11-22 |
1902880560 | Samina Anwar | Psychiatry & Neurology | 235 Mill St, Suite 1, Hagerstown, MD 21740-6114 | 2005-12-06 |
1518293695 | Joon-yi Kang | Psychiatry & Neurology | 600 N Wolfe St, Meyer 2-147, Baltimore, MD 21287-0005 | 2009-10-26 |
1336383835 | Lanham Neuro Science Center LLC | Psychiatry & Neurology | 9801 Greenbelt Rd, Suite 101, Lanham, MD 20706-2273 | 2009-04-28 |
1225276702 | The Good Samaritan Hospital of Maryland, Inc. | Psychiatry & Neurology | 5601 Loch Raven Blvd, Baltimore, MD 21239-2905 | 2009-01-22 |
1174788137 | Family & Children's Services of Central Md | Psychiatry & Neurology | 4623 Falls Rd, Baltimore, MD 21209-4914 | 2008-07-18 |
1912166430 | Advanced Neurology and Sleep Center of Frederick | Psychiatry & Neurology | 174 Thomas Johnson Dr, Suite 100, Frederick, MD 21702-4423 | 2008-06-09 |
1578628814 | Melvin Woodao Kong | Psychiatry & Neurology | 5100 Auth Way, Kaiser Permanente Marlow Heights Medical Center, Suitland, MD 20746-4207 | 2006-12-27 |
1093817983 | Samuel Goldberg | Psychiatry & Neurology | 10451 Twin Rivers Rd, Columbia, MD 21044-2388 | 2006-09-02 |
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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.