MACKENZIE LANDIN (NPI# 1740695337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740695337 |
| Entity Type | Individual |
| Full Name | MACKENZIE LANDIN |
| Credential | M.D. |
| Practice Address |
1441 N 12th St Fl 2 Phoenix AZ 85006-2837 |
| Practice Telephone | 6025213050 |
| Mailing Telephone | 6025213050 |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2020-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 2019-01762 | NC | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 61110 | AZ | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 125064599 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
1441 N 12TH ST FL 2 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85006-2837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659331536 | Margaret A O'brien | Dietitian, Registered | 1441 N 12th St Fl 2, Phoenix, AZ 85006-2837 | 2006-03-24 |
| 1699288639 | Megan Marie Ayson Flores | Dietitian, Registered | 1441 N 12th St Fl 2, Phoenix, AZ 85006-2837 | 2017-11-13 |
| 1093269581 | Heather Noriega | Nurse Practitioner | 1441 N 12th St Fl 2, Phoenix, AZ 85006-2837 | 2016-08-12 |
| 1770930067 | Karina Avechuco | Nurse Practitioner | 1441 N 12th St Fl 2, Phoenix, AZ 85006-2837 | 2016-05-17 |
| 1104211705 | Rong Rong Guo | Internal Medicine | 1441 N 12th St Fl 2, Phoenix, AZ 85006-2837 | 2015-03-31 |
| 1316358575 | Joshua Turkeltaub | Internal Medicine | 1441 N 12th St Fl 2, Phoenix, AZ 85006-2837 | 2014-05-09 |
| 1881970689 | Jessica Sachelle Byrdy | Physician Assistant | 1441 N 12th St Fl 2, Phoenix, AZ 85006-2837 | 2011-10-25 |
| 1093035016 | Bernadette R Soto | Nurse Practitioner | 1441 N 12th St Fl 2, Phoenix, AZ 85006-2837 | 2010-06-02 |
| 1336351329 | Rosemarie Metzger | Surgery | 1441 N 12th St Fl 2, Phoenix, AZ 85006 | 2007-05-04 |
| 1669572772 | Kresimira Milas | Surgery | 1441 N 12th St Fl 2, Phoenix, AZ 85006-2837 | 2006-09-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949929 | Teresa Louise Cox | Pharmacist | 1800 E Van Buren St., St. Luke's Behavioral Health, Phoenix, AZ 85006 | 2020-10-15 |
| 1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
| 1023638582 | Supraja Prakash | Genetic Counselor, MS | 1920 E Cambridge Ave., Rosenberg Bldg., Suite 304, Phoenix, AZ 85006 | 2020-04-24 |
| 1760017099 | Phoenix Medical Psychiatric Hospital, LLC | Psychiatric Hospital | 1346 Mcdowell Road, Phoenix, AZ 85006 | 2020-03-06 |
| 1265093108 | Zulianna Ibrahim | Student in an Organized Health Care Education/Training Program | Banner University Medical Center Phoenix Family Medicin, 1300 N. 12th Street Suite 605, Phoenix, AZ 85006 | 2019-06-21 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1477032357 | Joann Moskop | Chiropractor | 2719 N Greenfield Rd., Phoenix, AZ 85006 | 2018-08-10 |
| 1619464468 | Ana Maria Lara | Naturopath | 926 E Mcdowell Rd Ste 204, Phoenix, AZ 85006 | 2018-04-17 |
| 1194221770 | Nisha Bharat Patel | Student in an Organized Health Care Education/Training Program | Edwards Medical Plaza Suite 320, 1300 North 12th Street, Phoenix, AZ 85006 | 2018-04-03 |
| 1710486352 | Julia Cyr | Registered Nurse | 1008 E Mcdowell Rd Unit A, Phoenix, AZ 85006 | 2018-02-09 |
| Find all providers in zip 85006 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144746033 | Az Surgical Solutions | Surgery | 3724 N 3rd St Ste 302, Phoenix, AZ 85012-2034 | 2017-08-22 |
| 1184072894 | Eugene L De La Cruz Dpm PC | Surgery | 1743 W Sienna Bouquet Pl, Phoenix, AZ 85085-8040 | 2016-06-03 |
| 1164821112 | Arizona Surgical Associates, Plc | Surgery | 9305 W Thomas Rd Ste 480, Phoenix, AZ 85037-3375 | 2014-08-15 |
| 1639443096 | Joseph Patrick Kennelly | Surgery | 5941 E Lafayette Blvd, Phoenix, AZ 85018-4660 | 2012-03-02 |
| 1285927574 | Para Surgical Specialists, Pllc | Surgery | 9515 W. Camelback Rd, Suite 132, Phoenix, AZ 85037-0000 | 2011-05-19 |
| 1427347665 | Morley Rosenfield | Surgery | 3039 E Marshall Ave, Phoenix, AZ 85016-3713 | 2011-03-28 |
| 1962705889 | Richard Lance Chilian | Surgery | 2539 West Bloch Road, Phoenix, AZ 85041-2908 | 2010-12-15 |
| 1205140027 | Tracy Lynn Freeborn | Surgery | 9250 W Thomas Rd Ste 250, Phoenix, AZ 85037 | 2010-08-04 |
| 1407176126 | Martin E. Zipser | Surgery | 7320 N Dreamy Draw Dr, Phoenix, AZ 85020-5212 | 2010-06-03 |
| 1649413089 | Kaavya Reddy Matatova | Surgery | 19646 N 27th Ave Ste 201, Phoenix, AZ 85027-4026 | 2009-04-15 |
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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.