Landis Plastic Surgery P C

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

LANDIS PLASTIC SURGERY P C

Practice address

109 Bushaway Rd
Suite 200
Wayzata, MN 55391-1945

Phone

(763) 551-8985

Fax

(763) 551-4897

NPI assigned

Nov 30, 2006

Last updated

Oct 31, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. George H Landis, MDNPI 1730182270

Title

M.D.

Phone

(952) 562-5940

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• George Harold Landis, MD

  • Plastic and Reconstructive Surgery Physician
  • Plymouth, MN
  • NPI 1730182270
  Medicare reassignment Authorized official
• Bilal Mahmood Murad, MD

  • Interventional Cardiology Physician
  • Saint Paul, MN
  • NPI 1922066901
  NPD (past)

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477872000000",
    "number": "1265509350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 CAMPUS DRIVE",
            "address_2": "SUITE 335",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "55441",
            "telephone_number": "952-562-5940",
            "fax_number": "952-562-5949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 BUSHAWAY RD",
            "address_2": "SUITE 200",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553911945",
            "telephone_number": "763-551-8985",
            "fax_number": "763-551-4897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDIS PLASTIC SURGERY P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2016-10-31",
        "status": "A",
        "authorized_official_last_name": "LANDIS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "952-562-5940",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lakes Counseling, Coaching and Consulting
• Lakeshore Family Therapy LLC
• Leigh Lambrecht, RN, CNP
• Paul Jay Lang, D.C.
• Connor Larson
• Deann Marie Larson, C.M.T.
• Diane Mary Larson
• James Jay Larson, DDS

• Plastic and Reconstructive Surgery Physician in Wayzata, MN
• Providers in Wayzata, MN by specialty
• Plastic and Reconstructive Surgery Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.