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DR. LANDON M HARRISON D.O. NPI 1407196611


NPI Information

NPI: 1407196611
Provider Name: DR. LANDON M HARRISON, D.O.
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Individual

Specialization: Gynecology

PECOS Registration: Yes

Address:
11123 PARKVIEW PLAZA DR STE 101
FORT WAYNE, IN
ZIP 46845
Phone: (260) 425-6650
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DR. Landon M Harrison, D.O. is a gynecology obstetrics gynecology in Fort Wayne, IN with 11 years of experience. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee DR. Landon M Harrison, D.O. NPI is 1407196611. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11123 PARKVIEW PLAZA DR STE 101
FORT WAYNE, IN
ZIP 46845-707
Phone: (260) 425-6650
Fax: (260) 425-6649

The NPI 1407196611 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/25/2013 and was last updated on 10/10/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VG0400XObstetrics & GynecologyGynecology02005041AINDIANAYes
2390200000XStudent in an Organized Health Care Education/Training ProgramOHIONo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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