Individual provider Active NPI

Donald Joe Landesman, D.O.

  • Anesthesiology Physician
  • Grand Blanc, MI
National Provider Identifier
1104217074
Registry record updated Feb 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
OS3507 Issued in FL
Practice address
9277 Burning Tree Dr
Grand Blanc, MI 48439-9515
Phone
(810) 252-1553
NPI assigned
Feb 12, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X OS3507 FL Primary

Addresses

Primary practice location

9277 Burning Tree Dr
Grand Blanc, MI 48439-9515

Mailing address

9277 Burning Tree Dr
Grand Blanc, MI 48439-9515
Phone (810) 252-1553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
American Anesthesiology Associates of Michigan, PC Anesthesiology PastSince Apr 30, 2003 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423699200000",
    "number": "1104217074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9277 BURNING TREE DR",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484399515",
            "telephone_number": "810-252-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9277 BURNING TREE DR",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484399515",
            "telephone_number": "810-252-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDESMAN",
        "first_name": "DONALD",
        "middle_name": "JOE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-12",
        "last_updated": "2015-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "OS3507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; 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.