DR. GREGORY HALL LANDIS DO NPI 1699714766

NPI Information

NPI: 1699714766
Provider Name: DR. GREGORY HALL LANDIS, DO
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

PECOS Registration: Yes

Address:
3515 COOLIDGE RD
STE B
EAST LANSING, MI
ZIP 48823
Phone: (517) 999-3930
Get Directions

DR. Gregory Hall Landis, DO is a vascular surgery surgery in East Lansing, MI. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. DR. Gregory Hall Landis, DO NPI is 1699714766. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3515 COOLIDGE RD
STE B
EAST LANSING, MI
ZIP 48823-014
Phone: (517) 999-3930
Fax: (517) 999-3931

The NPI 1699714766 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 6/5/2006 and was last updated on 2/16/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0129X	Surgery	Vascular Surgery	5101009452	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	18-00004	OTHER	MICHIGAN	PHP
2	E94940	MEDICARE UPIN	MICHIGAN
3	0M91500002	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN	MEDICARE
4	330005122	OTHER	MICHIGAN	RAILROAD MEDICARE
5	253055	OTHER	MICHIGAN	MCLAREN HEALTH PLAN
6	253055	OTHER	MICHIGAN	MCLAREN HEALTH ADVANTAGE
7	4155773	MEDICAID	MICHIGAN
8	0995992	OTHER	MICHIGAN	HEALTHPLUS
9	18-70004	OTHER	MICHIGAN	PHP FAMILYCARE
10	4138612	OTHER	MICHIGAN	AETNA
11	3353301174	OTHER	MICHIGAN	BCBS/BCN

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: 5/5/2024

NPI Synchronization or Removal

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