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LANDMARK MEDICAL OF TENNESSEE PC NPI 1497409866


NPI Information

NPI: 1497409866
Provider Name: LANDMARK MEDICAL OF TENNESSEE PC

Other Name: IOWA

Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 16D1049207

Address:
1089 JORDAN CREEK PKWY STE 200
WEST DES MOINES, IA
ZIP 50266
Phone: (657) 400-5180
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LANDMARK MEDICAL OF TENNESSEE PC is a general practice in West Des Moines, IA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee LANDMARK MEDICAL OF TENNESSEE PC NPI is 1497409866. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Iowa.

The provider's business location address is:

1089 JORDAN CREEK PKWY STE 200
WEST DES MOINES, IA
ZIP 50266-830
Phone: (657) 400-5180

The provider's authorized official is Christopher Dennis .
The authorized official title is Chief Medical Office and has the following contact phone number (657) 400-5180.

The CLIA number assigned to this NPI record is 16D1049207 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/4/2022 and was last updated on 1/30/2024.


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
1208D00000XGeneral PracticeYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.