DR. JENNIFER L LANDRIGAN MD NPI 1225032642

NPI Information

NPI: 1225032642
Provider Name: DR. JENNIFER L LANDRIGAN, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
7910 W JEFFERSON BLVD
STE 201
FORT WAYNE, IN
ZIP 46804
Phone: (260) 436-3789
Get Directions

DR. Jennifer L Landrigan, MD is a pediatrics in Fort Wayne, IN. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Jennifer L Landrigan, MD NPI is 1225032642. 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:

7910 W JEFFERSON BLVD
STE 201
FORT WAYNE, IN
ZIP 46804-159
Phone: (260) 436-3789
Fax: (260) 436-2703

The enumeration date for this NPI number is 6/13/2005 and was last updated on 4/22/2008.

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	208000000X	Pediatrics		01044734A	INDIANA	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	200130020	MEDICAID	INDIANA
2	225950F	MEDICARE PIN

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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