DR. MICHAEL A LANDRUM (NPI# 1649481433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649481433 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL A LANDRUM |
| Credential | D.O. |
| Practice Address |
0105 Edwards Village Blvd A203 Edwards CO 81632-2637 |
| Mailing Address |
174 S Freeport Rd Suite 2a Be Well My Friend, LLC Freeport ME 04032-6145 |
| Practice Telephone | 9709264600 |
| Practice Fax Number | 9709264602 |
| Mailing Telephone | 8552393556 |
| Mailing Fax Number | 2075125909 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2015-01-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | 2030 | ME | Allopathic & Osteopathic Physicians |
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
2030 | ME | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932280104 | Michael Leroy Landrum | Internal Medicine | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2006-10-17 |
| Street Address |
0105 EDWARDS VILLAGE BLVD A203 |
| City | EDWARDS |
| State | CO |
| Zip Code | 81632-2637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518118751 | Mark Janes Pitcher | Chiropractor | 0105 Edwards Village Blvd A203, Edwards, CO 81632-2637 | 2008-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538771258 | Bsig Rx LLC | Pharmacy | 105 Edwards Village Blvd., Unit G-107, Edwards, CO 81632 | 2020-08-24 |
| 1700430535 | Luke Cobb | Chiropractor | 128 Main St #c6, Edwards, CO 81632 | 2019-07-30 |
| 1710453543 | Lindsay Marie Bergman | Physician Assistant | 1140 Edwards Village II, B-105, Edwards, CO 81632 | 2018-10-19 |
| 1073092037 | Ryan G Zastrow, Dds, Pllc | Dentist | 275 Main St Unit O 203, Edwards, CO 81632 | 2018-08-10 |
| 1093216046 | Mauricio Cadavid | Massage Therapist | Vimg, 105 Edwards Village Center A-203, Edwards, CO 81632 | 2018-02-26 |
| 1083113765 | Mountain Valley Kids Dental, Pllc | Dentist | 105 Edwards Village Blvd., #d-202, Po Box 41, Edwards, CO 81632 | 2018-02-07 |
| 1760903447 | Bryan Diekmann | Specialist/Technologist | 1140 Edwards Village Blvd. Ste 105, Edwards, CO 81632 | 2017-07-03 |
| 1457702409 | Anesthesia Partners of Colorado | Anesthesiology | 230 Foal Circle, Edwards, CO 81632 | 2016-06-30 |
| 1720437148 | Sheila Griffith | Specialist | 105 Edwards Village Blvd Suite G201, Edwards, CO 81632 | 2016-06-07 |
| 1992107171 | Sara Bentley | Physical Therapist | 105 Edwards Village Center, Suite A203, Edwards, CO 81632 | 2014-09-19 |
| Find all providers in zip 81632 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972101202 | Creekside Physical Medicine Pllc | Neuromusculoskeletal Medicine & OMM | 600 S Airport Rd Unit Cd, Longmont, CO 80503-6475 | 2020-10-09 |
| 1497208904 | Jarvis Ryals | Neuromusculoskeletal Medicine & OMM | 84 Ironweed Dr, Pueblo, CO 81001-1048 | 2016-08-01 |
| 1457737819 | Acupuncture Physicians of Colorado | Neuromusculoskeletal Medicine & OMM | 9101 Harlan St # 350, Westminster, CO 80031-2924 | 2015-08-07 |
| 1548417157 | Erin Murphy Woessner | Neuromusculoskeletal Medicine & OMM | 5976 Flora Way, Arvada, CO 80004-3757 | 2008-08-26 |
| 1467613158 | Adam Lee Kilkenney | Neuromusculoskeletal Medicine & OMM | 5625 N Academy Blvd Ste 1800, Colorado Springs, CO 80918-3658 | 2008-06-24 |
| 1063609535 | Marshall Jeffrey Handleman | Neuromusculoskeletal Medicine & OMM | 205 Rutgers Pl, Woodland Park, CO 80863-8824 | 2007-09-28 |
| 1366633851 | Daniel Lopez | Neuromusculoskeletal Medicine & OMM | 9600 W Jewell Ave, Lakewood, CO 80232 | 2007-08-08 |
| 1760694525 | Alex G Reish | Neuromusculoskeletal Medicine & OMM | 5377 Manhattan Cir Ste 200, Boulder, CO 80303-4345 | 2007-05-04 |
| 1245458264 | Emmy Washburn Lawrason-kobobel | Neuromusculoskeletal Medicine & OMM | 801 Florida Rd Unit 11, Durango, CO 81301-4775 | 2007-04-23 |
| 1831212596 | Jennifer Jean Mcpeek | Neuromusculoskeletal Medicine & OMM | 942 Oak Street, Steamboat Springs, CO 80487 | 2007-04-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. MICHAEL A LANDRUM.
| 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.