Marsha M. Landvatter, MD
Individual provider Active NPI Hospitalist Physician · Janesville, WI
NPI 1053809343 · NPPES record last updated Jun 17, 2024
Key facts
- NPI
- 1053809343
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- 70936-20 (WI)
- Practice address
- 849 Kellogg Ave
Janesville, WI 53546-2808 - Phone
- (608) 755-7960
- Fax
- (608) 755-7873
- NPI assigned
- Apr 23, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Owned or controlled facilities with NPI records 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WI, AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| River Valley Hospice |
Hospice | Contracted Managing Employee | Apr 13, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190903001229 | WI | Practitioner - Family Practice | 9335478288 | Reassigns benefits to 1 organization |
| I20201008001914 | AZ | Practitioner - Family Practice |
9335478288 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CS Pacs 3 West LLC | Hospitalist | Current |
Accepting new patients |
| Apogee Medical Group Inc | Current |
Accepting new patients | |
| Valley View Physician Practices LLC | Current | Accepting new patients | |
| Valley View Physician Practices LLC | Current |
Accepting new patients | |
| Kingman Healthcare, Inc | Family Medicine | Current | Accepting new patients |
| Valley View Physician Practices, LLC | Current |
Accepting new patients | |
| Arizona Post-Acute Medical Services 1 PC | Hospitalist | Current |
Accepting new patients |
| Apogee Medical Group Inc | Current |
Accepting new patients | |
| NM Pacs 2 LLC | Hospitalist | Current |
Accepting new patients |
| Indigo Healthcare LLC | Family Medicine | Current |
Accepting new patients |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Havasu Nursing Center 2 Inc | Past | Accepting new patients |
Locations
3641 Highway 95
Bullhead City, AZ 86442
Phone (928) 704-4334
5300 S Highway 95
Ste A
Fort Mohave, AZ 86426
Phone (928) 768-9496
5300 S Highway 95
Ste C
Fort Mohave, AZ 86426
Phone (928) 768-2330
3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626
1081 Kathleen Ave
Kingman, AZ 86401
Phone (928) 718-0777
1990 McCulloch Blvd N
Ste 109
Lake Havasu City, AZ 86403
Phone (928) 505-6473
3401 Lockwood Dr
Lakeside, AZ 85929
Phone (928) 368-2060
101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150
3576 Kearsage Dr
Lk Havasu Cty, AZ 86406
Phone (928) 453-1500
255 W Brown Rd
Mesa, AZ 85201
Phone (480) 833-3988
5755 E Main St
Mesa, AZ 85205
Phone (480) 214-2400
1119 E Rancho Vistoso Blvd
Oro Valley, AZ 85755
Phone (520) 825-4669
807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222
8825 S 7th St
Phoenix, AZ 85042
Phone (602) 243-6121
864 Dougherty St
Prescott, AZ 86305
Phone (928) 778-9666
3380 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 775-0045
2401 E Hunt Dr
Show Low, AZ 85901
Phone (928) 537-5333
500 W Il Route 22
Barrington, IL 60010
Phone (847) 381-3000
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
348 S Division St
Harvard, IL 60033
Phone (815) 943-1122
2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510
1916 N 700 W
Ste 110
Layton, UT 84041
Phone (801) 444-0221
849 Kellogg Ave
Janesville, WI 53546
Phone (608) 755-7960
1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868
725 S Janesville St
Milton, WI 53563
Phone (608) 868-5800
Interoperability endpoints
- marsha.landvatter.1@19231.direct.athenahealth.com
- landvatter.marsha@direct.azkrmc.md
- landvatter.marsha@st.direct.azkrmc.md
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 70936-20 | WI | |
| Family Medicine Physician | 207Q00000X | 60135 | AZ | |
| Hospitalist Physician | 208M00000X | 70936-20 | WI | Yes |
Addresses
Primary practice location
849 Kellogg Ave
Janesville, WI 53546-2808
Mailing address
849 Kellogg Ave
Janesville, WI 53546-2808
Phone (608) 755-7960
Other providers in Janesville, WI
- Jennifer L Laatsch
- Amanda Kay Lake
- Amin A Lakhdhir
- Leah Lammersfeld
- Jacob A. Landvatter
- Penny L Landvogt
- Christine E Langemo
- Lauren Ashley Langford
- Mark E Lanser
- Kristin L Lapointe
All providers in Janesville, WI · Hospitalist Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.