Andrew J Landis (NPI# 1710928973, PAC ID# 6608042940) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1710928973 |
| PAC ID by PECOS | 6608042940 |
| Professional Enrollment ID | I20120109000112 |
| Full Name | Andrew J Landis |
| Address |
Foot Ctr of Perry Hall 4136 East Joppa Rd Suite L Nottingham MD 21236-2286 |
| Phone Number | 4102561188 |
| Gender | M |
| Medical School | DR. WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | PODIATRY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210049 | UNIVERSITY OF MD UPPER CHESAPEAKE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| Foot Ctr of Perry Hall, 4136 East Joppa Rd Suite L, Nottingham, MD 21236-2286 | 4102561188 |
| Street Address |
FOOT CTR OF PERRY HALL 4136 EAST JOPPA RD SUITE L |
| City | NOTTINGHAM |
| State | MD |
| Zip | 21236-2286 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Camille B Madison | Emergency Medicine | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 4920 Campbell Rd, White Marsh, MD 21236 |
| Erin E Derenick | Physical Therapy | Gold Medal Physical Therapy LLC | 9634 Bel Air Rd, Perry Hall, MD 21236 |
| Andrew Davis | Psychiatry | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 4920 Campbell Rd, White Marsh, MD 21236 |
| Alyssa M Mathew | Internal Medicine | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 4920 Campbell Rd, White Marsh, MD 21236 |
| Kiersten E Kilczewski | Physical Therapy | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 4920 Campbell Rd, White Marsh, MD 21236 |
| Tamischer B Nettles | Family Medicine | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 4920 Campbell Rd, White Marsh, MD 21236 |
| Meeta Gulati | Internal Medicine | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 4920 Campbell Rd, White Marsh, MD 21236 |
| Jenaro John Hernandez | Internal Medicine | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 4920 Campbell Rd, White Marsh, MD 21236 |
| Julian Barkan | Emergency Medicine | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 4920 Campbell Rd, White Marsh, MD 21236 |
| Jamille Patrice Taylor | Emergency Medicine | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 4920 Campbell Rd, White Marsh, MD 21236 |
| Find all physicians in zip 21236 | |||
| City | NOTTINGHAM |
| Zip Code | 21236 |
| Specialty | PODIATRY |
| City + Specialty | NOTTINGHAM + PODIATRY |
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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.