Vikrant Laxman Landge, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

31016 Issued in OK

Practice address

1401 W Locust St
Ste 102
Stilwell, OK 74960-3275

Phone

(918) 696-4065

Fax

(918) 696-5971

NPI assigned

Oct 10, 2011

Last updated

Oct 14, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

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

Orthopedic Surgery

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wagoner Hospital AuthorityGroup PAC ID 0042217531, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wagoner Community Hospital Hospital, Wagoner, OK, CCN 370166

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vikrant.landge.1@14254.direct.athenahealth.com

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.

• Wagoner Hospital Authority

  • General Acute Care Hospital
  • Wagoner, OK
  • NPI 1386611580
  Medicare reassignment Care Compare group
• Adair County Health Center, Inc.

  dba Memorial Hospital

  • Medical Specialty Clinic/Center
  • Stilwell, OK
  • NPI 1972780765
  Medicare reassignment NPD
• Adair County Health Center, Inc.

  dba Memorial Hospital

  • Rural Acute Care Hospital
  • Stilwell, OK
  • NPI 1790753358
  NPD
• Adair County Health Center,Inc.

  dba Physicians Clinic

  • Family Medicine Physician
  • Stilwell, OK
  • NPI 1326017492
  NPD
• Wagoner Hospital Authority

  • Clinic/Center
  • Muskogee, OK
  • NPI 1568808988
  NPD

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

• Wagoner Hospital Authority

  • General Acute Care Hospital
  • Wagoner, OK
  • NPI 1386611580
  Care Compare affiliation
• Wagoner Hospital Authority

  • Clinic/Center
  • Muskogee, OK
  • NPI 1568808988

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1318204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444780800000",
    "number": "1649554593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 W LOCUST ST",
            "address_2": "STE 102",
            "city": "STILWELL",
            "state": "OK",
            "postal_code": "749603275",
            "telephone_number": "918-696-4065",
            "fax_number": "918-696-5971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 W LOCUST ST",
            "address_2": "STE 102",
            "city": "STILWELL",
            "state": "OK",
            "postal_code": "749603275",
            "telephone_number": "918-696-4065",
            "fax_number": "918-696-5971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDGE",
        "first_name": "VIKRANT",
        "middle_name": "LAXMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-10",
        "last_updated": "2015-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "30871",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "P91524",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OK",
            "license": "31016",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "ZZ",
            "license": "2004021303",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Nicole Kimble
• Brenda Kincaid
• Megan Nicole Kirk, M.S., CCC-SLP
• Madison Kitchens, PA
• Jennifer Kliest, RDH
• Late Night Chiropractic PLLC
• Cassie Latimer
• BJ Latta
• Robert Latta
• Stephanie Latta

• Orthopaedic Surgery Physician in Stilwell, OK
• Providers in Stilwell, OK by specialty
• Orthopaedic Surgery Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; 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.