MR. LANDON L LAPHAM (NPI# 1851679807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851679807 |
| Entity Type | Individual |
| Full Name | MR. LANDON L LAPHAM |
| Credential | AA |
| Practice Address |
3333 Evergreen Dr Ne Grand Rapids MI 49525-9493 |
| Practice Telephone | 6163644200 |
| Practice Fax Number | 6163647347 |
| Mailing Telephone | 6163644200 |
| Mailing Fax Number | 6163647347 |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2014-07-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS PIN | 0871663 | 01 |
| Street Address |
3333 EVERGREEN DR NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49525-9493 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558354993 | Gregory James Bellig | Anesthesiology | 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 | 2005-08-30 |
| 1205454998 | Andrea Mantel | Anesthesiologist Assistant | 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 | 2020-07-08 |
| 1275170920 | Bianca Christina Feenstra | Registered Nurse | 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 | 2019-12-02 |
| 1497217335 | Nicholas Simpson | Anesthesiologist Assistant | 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 | 2019-04-01 |
| 1902370745 | Rebecca Stienstra | Nurse Anesthetist, Certified Registered | 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 | 2019-01-15 |
| 1841796752 | Mason Fisher | Anesthesiologist Assistant | 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 | 2018-04-02 |
| 1134645963 | Meghan Fowler | Anesthesiologist Assistant | 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 | 2017-08-14 |
| 1720516065 | Joshua Joseph Saladino | Nurse Anesthetist, Certified Registered | 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 | 2017-05-31 |
| 1881127694 | Deanna Kathleen Speyers | Nurse Anesthetist, Certified Registered | 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 | 2017-04-07 |
| 1568994812 | Emily Cobb | Nurse Anesthetist, Certified Registered | 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 | 2017-03-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1184242760 | Christian Healthcare Specialists, Inc. | Obstetrics & Gynecology | 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 | 2020-07-09 |
| 1174154645 | Amy Vanderslik | Case Manager/Care Coordinator | 3310 Eaglecrest Park Dr. Ne, Suite 100, Grand Rapids, MI 49525 | 2020-02-03 |
| 1477195246 | Epic Discoveries LLC | Counselor | 4867 E. Beltline Ave Ne, Grand Rapids, MI 49525 | 2019-10-14 |
| 1598228959 | Kim Scherencel Lmsw Counseling | Social Worker | 3280 Beltline Ne, Grand Rapids, MI 49525 | 2019-04-11 |
| 1821558958 | Mindful Trajectories | Social Worker | 3280 Beltlne Ct Ne, Grand Rapids, MI 49525 | 2019-03-24 |
| 1104380518 | Julianne Lettinga, Ma Lpc Counseling | Counselor | 3280 East Beltline Ct Ne, Grand Rapids, MI 49525 | 2019-01-30 |
| 1396227229 | Christopher Scot Doucette | Social Worker | 2064 Airway St Ne, Grand Rapids, MI 49525 | 2018-09-06 |
| 1568976017 | Amy K. Deyoung, Dds, Ms, PC Pediatric Dentistry | Dentist | 3297 Eagle Run Dr. Ne, Grand Rapids, MI 49525 | 2017-11-20 |
| 1407389604 | Kelly Jo Crabb | Social Worker | 4829 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49525 | 2017-04-05 |
| Find all providers in zip 49525 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205454998 | Andrea Mantel | Anesthesiologist Assistant | 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 | 2020-07-08 |
| 1316586381 | Keith Minbiole | Anesthesiologist Assistant | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2019-12-23 |
| 1427697499 | Alexander Linkner | Anesthesiologist Assistant | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2019-12-23 |
| 1811541774 | Skylar Bayer | Anesthesiologist Assistant | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2019-07-30 |
| 1659834562 | Kevin Sistani | Anesthesiologist Assistant | 100 Michigan St Ne, Grand Rapids, MI 49503 | 2019-04-08 |
| 1497217335 | Nicholas Simpson | Anesthesiologist Assistant | 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 | 2019-04-01 |
| 1841796752 | Mason Fisher | Anesthesiologist Assistant | 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 | 2018-04-02 |
| 1134645963 | Meghan Fowler | Anesthesiologist Assistant | 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 | 2017-08-14 |
| 1396150066 | Ina Stashonsky | Anesthesiologist Assistant | 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 | 2014-06-21 |
| 1336403823 | Mark Allen Hoogerhyde | Anesthesiologist Assistant | 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 | 2012-06-28 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49525 |
Please comment or provide details below to improve the information on MR. LANDON L LAPHAM.
| 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.