Active NPI
Robert Chester Landis, MD
- Pediatrics Physician
- York, PA
National Provider Identifier
1346272556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD008770E
- Practice address
- 2050 S Queen St
Ste 100
York, PA 17403-4829 - Phone
- (717) 812-4240
- Fax
- (717) 848-5520
- NPI assigned
- Jul 7, 2006
- Sex
- Male
- Sole proprietor
- No
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 | MD008770E | PA | Primary |
Addresses
Primary practice location
2050 S Queen St
Ste 100
York, PA 17403-4829
Mailing address
3421 Concord Rd
York, PA 17402-9001
Phone (717) 812-4240
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 233275 | Other | PA | MAMSI-WMG |
| 42959 | Other | PA | GEISINGER |
| 80967 | Other | PA | UNISON-WMG |
| 018165 | Other | PA | HIGHMARK BLUE SHIELD |
| 20010050 | Other | PA | AH MERCY-WMG CARLISLE RD |
| 03124001 | Other | PA | CAPITAL BLUE CROSS-WMG |
| 000603936 | Medicaid | PA | |
| P002871 | Other | PA | GATEWAY-WMG |
| 1142401 | Other | PA | AH MERCY-WMG QUEEN ST |
| 4277196 | Other | PA | AETNA |
| 48700 | Other | PA | JOHNS HOPKINS |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD008770E | PA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394150400000",
"number": "1346272556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3421 CONCORD RD",
"city": "YORK",
"state": "PA",
"postal_code": "174029001",
"telephone_number": "717-812-4240",
"fax_number": "717-848-5520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2050 S QUEEN ST",
"address_2": "STE 100",
"city": "YORK",
"state": "PA",
"postal_code": "174034829",
"telephone_number": "717-812-4240",
"fax_number": "717-848-5520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDIS",
"first_name": "ROBERT",
"middle_name": "CHESTER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2014-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD008770E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI-WMG",
"identifier": "233275",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER",
"identifier": "42959",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON-WMG",
"identifier": "80967",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "018165",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AH MERCY-WMG CARLISLE RD",
"identifier": "20010050",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS-WMG",
"identifier": "03124001",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000603936",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY-WMG",
"identifier": "P002871",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AH MERCY-WMG QUEEN ST",
"identifier": "1142401",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4277196",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHNS HOPKINS",
"identifier": "48700",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.