Landmark Urology and Complementary Medicine, PA

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

33672 Issued in NC

Legal business name

LANDMARK UROLOGY AND COMPLEMENTARY MEDICINE, PA

Practice address

3200 Blue Ridge Rd
Suite118
Raleigh, NC 27612-8086

Phone

(919) 571-4399

Fax

(919) 571-7627

NPI assigned

Sep 29, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mark W McClure, MD

Title

President

Phone

(919) 571-4399

Specialties & licenses 1

Addresses

Other identifiers 3

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248048000000",
    "number": "1033201538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 BLUE RIDGE RD",
            "address_2": "SUITE 118",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128086",
            "telephone_number": "919-571-4399",
            "fax_number": "919-571-7627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 BLUE RIDGE RD",
            "address_2": "SUITE118",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128086",
            "telephone_number": "919-571-4399",
            "fax_number": "919-571-7627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDMARK UROLOGY AND COMPLEMENTARY MEDICINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2009-07-20",
        "status": "A",
        "authorized_official_last_name": "MCCLURE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-571-4399",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "NC",
            "license": "33672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "1419330",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DD8017",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890113J",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caroline Byrd Landen, LMFT
• Julia Landerkin, DPT
• Kristen Ashley Landis, NNP-BC
• Leanna Landis
• Shoneka Landis, LPCA
• Annelise Barbara Yvonne Landreth, MSN, FNP
• Rachel Morgan Landreth, FNP-BC
• Lance Eric Landvater, MD
• Lane & Associates Xxi, DDS PA
• Lane & Associates Xxii, DDS PA

• Urology Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Urology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.