DARRYL LANDIS (NPI# 1649747999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649747999 |
| Entity Type | Individual |
| Full Name | DARRYL LANDIS |
| Credential | MD |
| Practice Address |
480 Stonegate Ln Winston Salem NC 27104-1825 |
| Mailing Address |
380 Knollwood St # H280 Winston Salem NC 27103-1884 |
| Practice Telephone | 3369227379 |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2018-10-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 66999 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
480 STONEGATE LN |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27104-1825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447807664 | Cameron Grant Ford | Psychologist | 614 Country Club Road, Winston-salem, NC 27104 | 2019-08-22 |
| 1104310374 | Novant Medical Group, Inc. | Internal Medicine | 4937 Old Country Club Rd, Winston Salem, NC 27104 | 2018-06-20 |
| 1982100509 | Dillon James Magalski | Student in an Organized Health Care Education/Training Program | Piedmont Plaza 1, 1920 West First Street, Wake Forest Baptist Medical Center, Winston-salem, NC 27104 | 2018-04-03 |
| 1891290144 | Breann M Poling | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Center, Department Of, Family Medicine Piedmont Plaza I 1920 West First Street, Winston Salem, NC 27104 | 2018-03-28 |
| 1689178600 | Christopher Vasil | Student in an Organized Health Care Education/Training Program | Piedmont Plaza I, 1920 West First Street, Department of Family Medicine, Winston Salem, NC 27104 | 2018-03-23 |
| 1407379126 | April Lynn Lowe | Registered Nurse | 940 N Peace Haven Rd, Winstonsalem, NC 27104 | 2017-07-25 |
| 1164950804 | Donald Joyce | Student in an Organized Health Care Education/Training Program | 1920 West First St, Piedmont Plaza I Building, 3rd Floor, Winston-salem, NC 27104 | 2017-05-25 |
| 1255867289 | Benjamin Hansen | Pharmacist | 2150 Country Club Rd Ste 300, Winston Salem, NC 27104 | 2017-05-11 |
| 1770020976 | Jane Reed | Physical Medicine & Rehabilitation | 2627 E Greenbrier Road, Winston Salem, NC 27104 | 2017-01-25 |
| 1053728261 | Ashraf Alsaedi | Pharmacist | 1659 Stratford Rd Nw, Winston Salem, NC 27104 | 2014-07-20 |
| Find all providers in zip 27104 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962048512 | Novant Medical Group, Inc | Family Medicine | 1400 Westgate Ctr Dr Ste 110, Winston Salem, NC 27103-3104 | 2019-11-19 |
| 1669026456 | Brandon Chase Barnette | Family Medicine | 1825 Denise Ln, Winston Salem, NC 27127-8850 | 2019-07-30 |
| 1063918670 | Cms Med Health and Wellness Pllc | Family Medicine | 3878 Oxford Station Way, Winston Salem, NC 27103-1340 | 2018-04-03 |
| 1083069082 | Michael Merz | Family Medicine | Wake Forest Family Medicine Residency, Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2016-04-27 |
| 1225475023 | Novant Medical Group Inc | Family Medicine | 10479 N Nc Highway 109, 107a, Winston Salem, NC 27107-9643 | 2013-06-03 |
| 1598028987 | Urgent Cares of America North Carolina Inc. | Family Medicine | 310 S Stratford Rd, Winston Salem, NC 27103-1820 | 2012-06-20 |
| 1518224617 | Daniel Lewis Myers | Family Medicine | 10479 N Nc Highway 109 Ste 107a, Winston Salem, NC 27107-9884 | 2012-04-13 |
| 1982989828 | Urgent Cares of America North Carolina Inc | Family Medicine | 4937 Old Country Club Rd., Winston Salem, NC 27104-5068 | 2011-10-11 |
| 1558657403 | Laura Bartels Torres | Family Medicine | 50 Miller St Ste G, Winston Salem, NC 27104 | 2011-06-20 |
| 1154647519 | Rachel Katherine Woodruff | Family Medicine | 1920 W 1st St # 3, Winston Salem, NC 27104-4220 | 2010-04-09 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27104 |
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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.