Active NPI
Donald Joe Landesman, D.O.
- Anesthesiology Physician
- Grand Blanc, MI
National Provider Identifier
1104217074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- OS3507
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology Associates of Michigan, PC | Anesthesiology | Past | 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.
-
- Anesthesiology Physician
- Grand Blanc, MI
- NPI 1235181223
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.