Jeffrey Thomas Landers, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

35.088080 Issued in OH

Practice address

3600 Kolbe Rd Ste 206
Lorain, OH 44053-1652

Phone

(440) 222-4180

Fax

(440) 222-4181

NPI assigned

May 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy Health Physicians Lorain Specialty Care LLCGroup PAC ID 4688070055, 134 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Regional Medical Center Hospital, Lorain, OH, CCN 360172

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jlanders583037@direct.multicare.org
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: jlanders1284484@direct.bsmhealth.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mercy Health Physicians Lorain Specialty Care LLC

  • Surgery Physician
  • Lorain, OH
  • NPI 1972126381
  Medicare reassignment Care Compare group NPD
• Mercy Health Physicians Lorain, LLC

  • Family Medicine Physician
  • Lorain, OH
  • NPI 1023347192

  Surgery

  Medicare reassignment NPD
• Mercy Health Physicians Lorain Specialty Care LLC

  • Durable Medical Equipment & Medical Supplies
  • Vermilion, OH
  • NPI 1255063145
  NPD
• Mercy Health Physicians, Lorain, LLC

  • Durable Medical Equipment & Medical Supplies
  • Oberlin, OH
  • NPI 1730724147
  NPD
• Mercy Health-Regional Medical Center LLC

  • General Acute Care Hospital
  • Lorain, OH
  • NPI 1245274950
  NPD (past)
• Puget Sound Surgical Clinic Inc

  • Ambulatory Surgical Clinic/Center
  • Shoreline, WA
  • NPI 1689814998
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Health-Regional Medical Center LLC

  • Clinical Medical Laboratory
  • Lorain, OH
  • NPI 1164971800

  Hospital

  Care Compare affiliation
• Mercy Health-Regional Medical Center LLC

  • General Acute Care Hospital
  • Lorain, OH
  • NPI 1245274950
  Care Compare affiliation

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1477501104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 KOLBE RD STE 206",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440531652",
            "telephone_number": "440-222-4180",
            "fax_number": "440-222-1652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 KOLBE RD STE 206",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440531652",
            "telephone_number": "440-222-4180",
            "fax_number": "440-222-4181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Naval Hospital Bremerton",
            "address_2": "One Boone Road -041",
            "address_purpose": "LOCATION",
            "city": "Bremerton",
            "state": "WA",
            "postal_code": "98312",
            "country_code": "US",
            "telephone_number": "360-475-4221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANDERS",
        "first_name": "JEFFREY",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD00044204",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35.088080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8515710",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0003156",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ching-Feng Lai, DO
• Latosha Shanta Lake
• Le Lam, O.D.
• Diana Lamb
• Serena M Lamping, PHARM.D.
• Emily L Lanzola
• Robert D Lapp, PCC
• Andrea Michelle Lara
• Erin Elizabeth Laraway, PHARMD
• David James Larson

• Surgery Physician in Lorain, OH
• Providers in Lorain, OH by specialty
• Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; 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.

Verify at the official NPI Registry.