DR. ERIC S LANDIS MD NPI 1477518223

NPI Information

NPI: 1477518223
Provider Name: DR. ERIC S LANDIS, MD
Classification: Radiology - 2085B0100X
Entity Type: Individual

Specialization: Body Imaging

Address:
703 RIVERWAY PL
BEDFORD, NH
ZIP 03110
Phone: (603) 668-7096
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DR. Eric S Landis, MD is a body imaging radiology in Bedford, NH. The provider is a Radiology doctor of Osteopathy that specializes in Body Imaging. DR. Eric S Landis, MD NPI is 1477518223. 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:

703 RIVERWAY PL
BEDFORD, NH
ZIP 03110-768
Phone: (603) 668-7096
Fax: (603) 669-6944

The enumeration date for this NPI number is 4/17/2006 and was last updated on 7/8/2007.

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	2085B0100X	Radiology	Body Imaging	8990	NEW HAMPSHIRE	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	008990	OTHER	NEW HAMPSHIRE	TUFTS
2	2200875	OTHER	NEW HAMPSHIRE	AETNA
3	0109229Y0 NH06	OTHER	NEW HAMPSHIRE	ANTHEM MCH TAX ID
4	0109229Y0NH03	OTHER	NEW HAMPSHIRE	BLUE CROSS
5	RE2890	MEDICARE ID-TYPE UNSPECIFIED	NEW HAMPSHIRE
6	2788	OTHER	NEW HAMPSHIRE	CIGNA
7	30006019	MEDICAID	NEW HAMPSHIRE
8	F70644	MEDICARE UPIN	NEW HAMPSHIRE

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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