DR. CHARLES J. LANDSBAUM M.D. NPI 1699751248

NPI Information

NPI: 1699751248
Provider Name: DR. CHARLES J. LANDSBAUM, M.D.
Classification: Internal Medicine - 207RG0100X
Entity Type: Individual

Specialization: Gastroenterology

Address:
1241 W STADIUM BLVD
JEFFERSON CITY, MO
ZIP 65109
Phone: (573) 635-5264
Get Directions

DR. Charles J. Landsbaum, M.D. is a gastroenterology internal medicine in Jefferson City, MO. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. DR. Charles J. Landsbaum, M.D. NPI is 1699751248. 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:

1241 W STADIUM BLVD
JEFFERSON CITY, MO
ZIP 65109-023
Phone: (573) 635-5264
Fax: (573) 556-5757

The enumeration date for this NPI number is 12/15/2005 and was last updated on 11/9/2007.

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	207R00000X	Internal Medicine		32831	MISSOURI	No
2	207RG0100X	Internal Medicine	Gastroenterology	32831	MISSOURI	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	A13185	MEDICARE UPIN
2	CP9089	OTHER	MISSOURI	RR GROUP

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

NPI Synchronization or Removal

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