Active NPI
Marilyn M Landrum, MD
- Internal Medicine Physician
- Denison, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- L0363
- Practice address
- 5012 S US Highway 75
Suite 300
Denison, TX 75020-4587 - Phone
- (930) 416-6025
- Fax
- (903) 416-6138
- NPI assigned
- May 9, 2006
- Last updated
- Jan 26, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | L0363 | TX | |
| Internal Medicine Physician | 207R00000X | L0363 | TX | Primary |
Addresses
Primary practice location
5012 S US Highway 75
Suite 300
Denison, TX 75020-4587
Mailing address
5012 S US Highway 75 Ste 300
Attn Billing
Denison, TX 75020-4589
Phone (903) 416-6025
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100229300A | Medicaid | OK | |
| 042108301 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Sanford School of Medicine of University of South Dakota, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5012 S US Hwy 75
Denison, TX 75020-4587
5012 S US Hwy 75
Suite 300
Denison, TX 75020-4589
Phone (903) 416-6015
5701 Virginia Pkwy
McKinney, TX 75071-5652
Phone (214) 592-0212
Hospital & facility affiliations
- TMC Home Health of Durant
- Texoma Medical Center Home Health Services
- Texoma Medical Center
- Alliancehealth Durant
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L0363 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texomacare | Current | Accepting new patients | |
| Texomacare | Internal Medicine | Current | Accepting new patients |
| Center for Family Medicine,PA | Past | Accepting new patients | |
| Uhs of Texoma Inc | Past | Accepting new patients |
Locations
5012 US Highway 75
Denison, TX 75020
Phone (903) 416-1726
5012 US Highway 75
Ste 300
Denison, TX 75020
Phone (903) 416-6025
5012 US Highway 75
Ste 100
Denison, TX 75020
Phone (903) 416-6325
2600 N US Highway 75
#200
Sherman, TX 75090
Phone (903) 416-5500
Interoperability endpoints
- marilyn.landrum@tc.eclinicaldirectplus.com
Organizations & group practices 5
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.
-
- Physical Therapist
- Cedar Park, TX
- NPI 1871132357
-
- Family Medicine Physician
- Sherman, TX
- NPI 1780808832
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Texoma Medical Center Home Health
- Home Health Agency
- Sherman, TX
- NPI 1497754527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516924800000",
"number": "1285683987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5012 S US HIGHWAY 75 STE 300",
"address_2": "ATTN BILLING",
"city": "DENISON",
"state": "TX",
"postal_code": "750204589",
"telephone_number": "903-416-6025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5012 S US HIGHWAY 75",
"address_2": "SUITE 300",
"city": "DENISON",
"state": "TX",
"postal_code": "750204587",
"telephone_number": "930-416-6025",
"fax_number": "903-416-6138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDRUM",
"first_name": "MARILYN",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-09",
"last_updated": "2018-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "L0363",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "L0363",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100229300A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "042108301",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Denison, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.