Landon Erickstad (NPI# 1457642282, PAC ID# 6406151406) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1457642282 |
| PAC ID by PECOS | 6406151406 |
| Professional Enrollment ID | I20160812000164 |
| Full Name | Landon Erickstad |
| Organization Legal Name | REGIONAL CLINICS OF LONGVIEW |
| Address |
802 Medical Dr Suite 400 Longview TX 75605-5205 |
| Phone Number | 9037577871 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 7214016559 |
| Number of Group Practice Members | 36 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450702 | LONGVIEW REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 802 Medical Dr, Suite 400, Longview, TX 75605-5205 | 9037577871 | REGIONAL CLINICS OF LONGVIEW |
| Organization Legal Name | REGIONAL CLINICS OF LONGVIEW |
| Physicians | 34 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Esther Gayle Ferrell | Nurse Practitioner | Regional Clinics of Longview | 2021 W Loop, Suite 281, Longview, TX 75604-2504 |
| Rodney L Henry | Cardiovascular Disease (cardiology) | Regional Clinics of Longview | 709 Hollybrook Dr, Suite 2301, Longview, TX 75605-2412 |
| Sabrina M Benefield | Obstetrics/gynecology | Regional Clinics of Longview | 1009 N 4th St, Suite A, Longview, TX 75601-4768 |
| Jack M Graham | Obstetrics/gynecology | Regional Clinics of Longview | 802 Medical Dr, Suite 205, Longview, TX 75605-5208 |
| Samir V Germanwala | Cardiovascular Disease (cardiology) | Regional Clinics of Longview | 1009 N 4th St, Suite A, Longview, TX 75601-4768 |
| Jorge E Massare | Cardiac Electrophysiology | Regional Clinics of Longview | 709 Hollybrook Dr, Suite 2301, Longview, TX 75605-2412 |
| Chad Crossland | Nurse Practitioner | Regional Clinics of Longview | 709 Hollybrook Dr, Suite 3400, Longview, TX 75605-2412 |
| Larry Fulton Holman | Nurse Practitioner | Regional Clinics of Longview | 709 Hollybrook Dr, Suite 2301, Longview, TX 75605-2412 |
| James E Harrell Jr. | Thoracic Surgery | Regional Clinics of Longview | 709 Hollybrook Dr, Suite 2301, Longview, TX 75605-2412 |
| Jonathan D Greifenkamp | Cardiovascular Disease (cardiology) | Regional Clinics of Longview | 709 Hollybrook Dr, Suite 2301, Longview, TX 75605-2412 |
| Street Address |
802 MEDICAL DR SUITE 400 |
| City | LONGVIEW |
| State | TX |
| Zip | 75605-5205 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jack M Graham | Obstetrics/gynecology | Regional Clinics of Longview | 802 Medical Dr, Suite 205, Longview, TX 75605-5208 |
| Francis J Tibiletti | Obstetrics/gynecology | Associated Clinicians of East Texas | 802 Medical Dr, Suite 400, Longview, TX 75605-5205 |
| Christopher A Yancey | Obstetrics/gynecology | Associated Clinicians of East Texas | 802 Medical Dr, Suite 100, Longview, TX 75605-5207 |
| Elizabeth Ann Heeb Tidwell | Obstetrics/gynecology | Associated Clinicians of East Texas | 802 Medical Dr, Suite 100, Longview, TX 75605-5207 |
| Henry Gor | Obstetrics/gynecology | Associated Clinicians of East Texas | 802 Medical Dr, Suite 100, Longview, TX 75605-5207 |
| Gerald G Payne Jr. | Obstetrics/gynecology | Regional Clinics of Longview | 802 Medical Dr, Suite 205, Longview, TX 75605-5208 |
| Sarah E Gough | Nurse Practitioner | Associated Clinicians of East Texas | 802 Medical Dr, Suite 100, Longview, TX 75605-5207 |
| Laine Anderson Veach | Nurse Practitioner | Regional Clinics of Longview | 802 Medical Dr, Suite 205, Longview, TX 75605-5208 |
| Margaret L Morton | Obstetrics/gynecology | Associated Clinicians of East Texas | 802 Medical Dr, Suite 100, Longview, TX 75605-5207 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brianne J Anders | Physical Therapy | Ak Fitness Health Center Inc. | 2903 Judson Rd, Longview, TX 75605-1803 |
| Cody R Hopson | Chiropractic | 2901 Judson Rd, Longview, TX 75605-1803 | |
| Leslie A Sanders | Physical Therapy | Ak Fitness Health Center Inc. | 2903 Judson Rd, Longview, TX 75605-1803 |
| Joseph H Anders | Physical Therapy | Ak Fitness Health Center Inc. | 2903 Judson Rd, Longview, TX 75605-1803 |
| Brenton Robinson | Nurse Practitioner | Procedural Office Operation Professionals LLC | 2828 Bill Owens Pkwy A, Longview, TX 75605-2102 |
| Gregory K Wacasey | Optometry | 2834 Bill Owens Pkwy, Longview, TX 75605-2102 | |
| Edward C Ledbetter | Chiropractic | Procedural Office Operation Professionals LLC | 2828 Bill Owens Pkwy, Suite A, Longview, TX 75605-2102 |
| Candis R Mendoza | Chiropractic | 2706 Bill Owens Pkwy, Longview, TX 75605-2136 | |
| Alex J Smith | Internal Medicine | 2107 Courthouse Dr, Suite 103, Longview, TX 75605-2355 | |
| Rajani Ruth Caesar | Neurology | Associated Clinicians of East Texas | 707 Hollybrook Dr, Suite 500, Longview, TX 75605-2409 |
| Find all physicians in zip 75605 | |||
| City | LONGVIEW |
| Zip Code | 75605 |
| Specialty | UROLOGY |
| City + Specialty | LONGVIEW + UROLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.