Active NPI
Chad A Landwehr, P.A.
- Medical Physician Assistant
- Weston, WI
National Provider Identifier
1285893370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 2265-023
- Practice address
- 226070 Clearview Drive
Weston, WI 54476 - Phone
- (715) 574-5101
- Fax
- (715) 997-8663
- NPI assigned
- Jun 4, 2008
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 2265-023 | WI | Primary |
Addresses
Primary practice location
226070 Clearview Drive
Weston, WI 54476
Mailing address
226070 Clearview Drive
Weston, WI 54476
Phone (715) 301-5615
Other practice location 1
7402 Stone Ridge Drive
weston, WI 54476
Phone (715) 636-0590
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160912001923 | WI | Order and Referring Only - Physician Assistant | 7911078605 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2265-023 | WI | MD | Medical Physician Assistant |
Interoperability endpoints
- chad.landwehr@337248305217540.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729814400000",
"number": "1285893370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "226070 CLEARVIEW DRIVE",
"city": "WESTON",
"state": "WI",
"postal_code": "54476",
"telephone_number": "715-301-5615",
"fax_number": "715-997-8663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "226070 CLEARVIEW DRIVE",
"city": "WESTON",
"state": "WI",
"postal_code": "54476",
"telephone_number": "715-574-5101",
"fax_number": "715-997-8663"
}
],
"practiceLocations": [
{
"address_1": "7402 Stone Ridge Drive",
"address_purpose": "LOCATION",
"city": "weston",
"state": "WI",
"postal_code": "54476",
"country_code": "US",
"telephone_number": "715-636-0590",
"fax_number": "715-240-5576",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LANDWEHR",
"first_name": "CHAD",
"middle_name": "A",
"credential": "P.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-04",
"last_updated": "2024-10-25",
"certification_date": "2024-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": "WI",
"license": "2265-023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weston, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.