Active NPI
James M Landers, MD
- Pediatrics Physician
- Grosse Pointe Woods, MI
National Provider Identifier
1225139918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- JL406104
- Practice address
- 20825 Mack Ave
Suite 4
Grosse Pointe Woods, MI 48236 - Phone
- (313) 881-6982
- Fax
- (313) 881-7267
- NPI assigned
- Sep 26, 2006
- Last updated
- Jan 23, 2019
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | JL406104 | MI | Primary |
Addresses
Primary practice location
20825 Mack Ave
Suite 4
Grosse Pointe Woods, MI 48236
Mailing address
20825 Mack Ave
#4
Grosse Pointe Woods, MI 48236
Phone (313) 881-6900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4695560 | Medicaid | MI |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| JL406104 | MI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James M Landers MD PLC | Pediatrics | Current | Accepting new patients |
Locations
20825 Mack Ave
Grosse Pointe Woods, MI 48236
Phone (313) 881-6982
20825 Mack Ave
Ste 4
Grosse Pointe Woods, MI 48236
Phone (313) 881-6982
Interoperability endpoints
- jlanders1135700@direct.hfhs.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Grosse Pointe Woods, MI
- NPI 1598607053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548201600000",
"number": "1225139918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20825 MACK AVE",
"address_2": "#4",
"city": "GROSSE POINTE WOODS",
"state": "MI",
"postal_code": "48236",
"telephone_number": "313-881-6900",
"fax_number": "313-881-7267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20825 MACK AVE",
"address_2": "SUITE 4",
"city": "GROSSE POINTE WOODS",
"state": "MI",
"postal_code": "48236",
"telephone_number": "313-881-6982",
"fax_number": "313-881-7267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDERS",
"first_name": "JAMES",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2019-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "JL406104",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4695560",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grosse Pointe Woods, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.