DR. ERIC S LANDIS (NPI# 1477518223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477518223 |
| Entity Type | Individual |
| Full Name | DR. ERIC S LANDIS |
| Credential | MD |
| Practice Address |
703 Riverway Pl Bedford NH 03110-6768 |
| Practice Telephone | 6036687096 |
| Practice Fax Number | 6036696944 |
| Mailing Telephone | 6036687096 |
| Mailing Fax Number | 6036696944 |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085B0100X |
Radiology Specialization: Body Imaging |
8990 | NH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | CIGNA | 2788 | 01 |
| NH | RAILROAD MEDICARE | 300064319 | 01 |
| NH | AETNA | 2200875 | 01 |
| NH | 30006019 | 05 | |
| NH | TUFTS | 008990 | 01 |
| NH | ANTHEM MCH TAX ID | 0109229Y0 NH06 | 01 |
| NH | BLUE CROSS | 0109229Y0NH03 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861414849 | Eric T Landis | Internal Medicine | 10344 Park Rd Ste 100, Charlotte, NC 28210 | 2006-07-25 |
| Street Address |
703 RIVERWAY PL |
| City | BEDFORD |
| State | NH |
| Zip Code | 03110-6768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033173091 | Wane G Joselow | Radiology | 703 Riverway Pl, Bedford, NH 03110-6768 | 2006-04-14 |
| 1316482292 | Jessica Paey | Physician Assistant | 703 Riverway Pl, Bedford, NH 03110-6768 | 2016-12-30 |
| 1346650959 | Thomas Alberico Jr. | Radiology | 703 Riverway Pl, Bedford, NH 03110-6768 | 2014-05-05 |
| 1659505089 | Pauline M Bishop | Radiology | 703 Riverway Pl, Bedford, NH 03110-6768 | 2009-05-13 |
| 1164604591 | Robert Remington Sprague | Radiology | 703 Riverway Pl, Bedford, NH 03110-6768 | 2007-11-27 |
| 1891895348 | John C Loh | Radiology | 703 Riverway Pl, Bedford, NH 03110-6768 | 2006-09-24 |
| 1255437984 | Elizabeth J Angelakis | Radiology | 703 Riverway Pl, Bedford, NH 03110-6768 | 2006-09-16 |
| 1144265307 | New Hampshire Radiology Associates, Pllc | Clinic/Center | 703 Riverway Pl, Bedford, NH 03110-6768 | 2006-06-19 |
| 1629015409 | David D Hou | Radiology | 703 Riverway Pl, Bedford, NH 03110-6745 | 2006-06-01 |
| 1669438461 | Bedford Medical Imaging Center, LLC | Clinic/Center | 703 Riverway Pl, Bedford, NH 03110-6768 | 2006-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114587300 | Jillian Lee Grosse | Dietitian, Registered | 80 Palomino Lane Nutrition In Motion, LLC, Suite 101, Bedford, NH 03110 | 2019-06-19 |
| 1154892909 | Artemis Clinic | Acupuncturist | 288 South River Road, Bldg A, Unit 1, Bedford, NH 03110 | 2018-12-05 |
| 1942790217 | Wendy Arleen Williams | Acupuncturist | 360 Route 101 Bldg. 1, Suite E, Bedford, NH 03110 | 2018-05-13 |
| 1336638352 | Elliot Hospital of The City of Manchester | Pharmacy | 25 Leavy Dr, Bedford, NH 03110 | 2018-05-04 |
| 1588182034 | Camille Redmond | Nutritionist | 360 Route 101 Suite 3 A, Bedford, NH 03110 | 2017-09-05 |
| 1750837092 | Katya Kudryavtseva | Acupuncturist | 288 South River Rd, Bldg A, Unit 1, Bedford, NH 03110 | 2016-08-28 |
| 1003268004 | Bethany Heidemann | Occupational Therapist | 66 Hawthorne Dr S, Bedford, NH 03110 | 2016-07-01 |
| 1477913044 | Ultraflex Systems Inc. | Durable Medical Equipment & Medical Supplies | 150 Constitution Drive, 1st Floor, Bedford, NH 03110 | 2016-02-25 |
| 1508243676 | Lydia Ann Nickerson | Dental Hygienist | 4 Bell Hill Rd., Bedford, NH 03110 | 2015-04-28 |
| 1629477021 | Convenientmd LLC | Clinic/Center | 3 Nashua Rd, Bedford, NH 03110 | 2014-08-21 |
| Find all providers in zip 03110 | ||||
| Taxonomy Code | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033173091 | Wane G Joselow | Radiology | 703 Riverway Pl, Bedford, NH 03110-6768 | 2006-04-14 |
| 1144285461 | Channing S Swan | Radiology | 703 Riverway Pl, Bedford, NH 03110-6768 | 2006-04-19 |
| 1851356380 | Edwin J Olmstead | Radiology | 703 Riverway Pl, Bedford, NH 03110-6768 | 2006-04-18 |
| 1043274822 | Gary B. Confer | Radiology | 703 Riverway Pl, Bedford, NH 03110-6768 | 2006-04-17 |
| 1104880988 | Christopher G Eckel | Radiology | 703 Riverway Pl, Bedford, NH 03110-6768 | 2006-04-17 |
| 1346205184 | David W Fontaine | Radiology | 703 Riverway Pl, Bedford, NH 03110-6768 | 2006-04-17 |
| 1780649525 | John J Januario | Radiology | 703 Riverway Pl, Bedford, NH 03110-6768 | 2006-04-17 |
| 1568426385 | Donald R Logan | Radiology | 703 Riverway Pl, Bedford, NH 03110-6768 | 2006-04-17 |
| 1912962770 | Peter Van Der Meer | Radiology | 703 Riverway Pl, Bedford, NH 03110-6768 | 2006-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912075862 | Laurie W Veilleux | Radiology | 2300 Southwood Dr, Dh - Radiology, Nashua, NH 03063-1818 | 2006-11-30 |
| 1922062793 | Vincent D Caruana | Radiology | 10 Alice Peck Day Dr, Dartmouth Hitchcock - Radiology, Lebanon, NH 03766 | 2006-04-17 |
Please comment or provide details below to improve the information on DR. ERIC S LANDIS.
| 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.