DR. ANTHONY M LANDIS (NPI# 1821187436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821187436 |
| Entity Type | Individual |
| Full Name | DR. ANTHONY M LANDIS |
| Credential | D.O. |
| Practice Address |
631 Professional Drive Suite 450 Lawrenceville GA 30046-7651 |
| Practice Telephone | 7709638030 |
| Practice Fax Number | 7703399577 |
| Mailing Telephone | 7709638030 |
| Mailing Fax Number | 7703399577 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2010-01-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
021733 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00245506J | 05 | |
| GA | PROVIDER NPI NUMBER | 1821187436 | 01 |
| GA | GROUP NPI NUMBER | 1508926759 | 01 |
| Street Address |
631 PROFESSIONAL DRIVE SUITE 450 |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30046-7651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487651386 | Wallace Ford Martin | Surgery | 631 Professional Drive, Suite 300, Lawrenceville, GA 30046-3371 | 2005-07-07 |
| 1003041104 | Barbara O'callaghan | Registered Nurse | 631 Professional Drive, 450, Lawrenceville, GA 30046-7651 | 2009-05-19 |
| 1861627028 | Theresa Lynn Catlin | Registered Nurse | 631 Professional Drive, Suite 450, Lawrenceville, GA 30046-7651 | 2009-05-18 |
| 1902003841 | Charles B Moomey Jr Md | Surgery | 631 Professional Drive, Suite 300, Lawrenceville, GA 30046-3371 | 2007-07-02 |
| 1639226178 | John A. Chandler | Physician Assistant | 631 Professional Drive, Suite 200, Lawrenceville, GA 30046-3367 | 2007-01-05 |
| 1710049036 | Gwinnett Consultants In Cardiology | Specialist | 631 Professional Drive, Ste 360, Lawrenceville, GA 30046-0000 | 2006-12-14 |
| 1508926759 | Suburban Hematology Oncology Associates, PC | Internal Medicine | 631 Professional Drive, Suite 450, Lawrenceville, GA 30046-7651 | 2006-12-11 |
| 1659460244 | Christopher T Hagenstad | Internal Medicine | 631 Professional Drive, Ste 210, Lawrenceville, GA 30046 | 2006-10-12 |
| 1073602751 | Alexander Saker Jr. | Internal Medicine | 631 Professional Drive, Suite 450, Lawrenceville, GA 30046 | 2006-10-12 |
| 1114969052 | Satvir Singh | Internal Medicine | 631 Professional Drive, Suite 450, Lawrenceville, GA 30046-7651 | 2006-06-12 |
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| 1285259846 | Mesun Health Services, Inc | Clinical Nurse Specialist | 88 Johnson Rd Building # 1-b, Lawrenceville, GA 30046 | 2020-06-10 |
| 1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
| 1306499785 | Bryan Acosta | Chiropractor | 471 Scenic Hwy South, Lawrenceville, GA 30046 | 2019-07-24 |
| 1205308616 | Belle Lumiere Cosmetics LLC | Dermatology | 753 Old Norcross Road, Lawrenceville, GA 30046 | 2018-12-24 |
| 1548730179 | Alexis Nicole Robinson | Nurse Anesthetist, Certified Registered | 1000 Medical Center Boulevard, Lawrenceville, GA 30046 | 2018-11-27 |
| 1679060388 | Christopher Puckett | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 | 2018-04-18 |
| 1457851255 | Advanced Urology Institute of Georgia | Urology | 501 Crown Point Way, Lawrenceville, GA 30046 | 2018-02-19 |
| 1013447044 | Pharmacy Investments of Lawrenceville, LLC | Pharmacy | 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 | 2017-06-13 |
| 1225577000 | Priority Housecalls LLC | Clinic/Center | 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 | 2017-02-14 |
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| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821240920 | Shodeinde Ariyo Coker | Internal Medicine | 3401 Princeton Pike, Lawrenceville, NJ 08648-1205 | 2008-10-21 |
| 1659571941 | Kathleen Laveaux | Internal Medicine | 698 Duluth Hwy Ste 201, Lawrenceville, GA 30046-7648 | 2007-07-24 |
| 1649229683 | Aldemar Montero | Internal Medicine | 631 Professional Dr Ste 450, Suite 210, Lawrenceville, GA 30046-3370 | 2006-05-08 |
| 1467687566 | Ramandeep Kaur Bambrah | Internal Medicine | 631 Professional Dr Ste 450, Lawrenceville, GA 30046-3370 | 2009-05-19 |
| 1023226081 | Praveen Sivakumaran | Internal Medicine | 631 Professional Dr Ste 450, Lawrenceville, GA 30046-3370 | 2007-05-21 |
| 1912034471 | I-wen Chang | Internal Medicine | 631 Professional Dr Ste 450, Lawrenceville, GA 30046-3370 | 2007-02-28 |
| 1508926759 | Suburban Hematology Oncology Associates, PC | Internal Medicine | 631 Professional Drive, Suite 450, Lawrenceville, GA 30046-7651 | 2006-12-11 |
| 1659460244 | Christopher T Hagenstad | Internal Medicine | 631 Professional Drive, Ste 210, Lawrenceville, GA 30046 | 2006-10-12 |
| 1073602751 | Alexander Saker Jr. | Internal Medicine | 631 Professional Drive, Suite 450, Lawrenceville, GA 30046 | 2006-10-12 |
| 1922013648 | Georgia Cancer Specialists I PC | Internal Medicine | 698 Duluth Hwy, Suite 201, Lawrenceville, GA 30045-7695 | 2006-07-30 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30046 |
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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.