Lesley V Landis MD PLLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

LESLEY V LANDIS MD PLLC

Doing business as

Landis Plastic Surgery

Practice address

2005 E 21St St Ste 325
Tulsa, OK 74114-1403

Phone

(918) 764-8516

Fax

(918) 764-8514

NPI assigned

Jan 12, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Lesley Landis, MDNPI 1851598320

Title

Owner

Phone

(405) 650-3452

Specialties & licenses 1

Addresses

Other names 1

• Landis Plastic Surgery Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lesley Vaughn Landis, M.D.

  • Plastic Surgery Physician
  • Tulsa, OK
  • NPI 1851598320
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1673481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678406400000",
    "number": "1679287767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 E 21ST ST STE 325",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741141403",
            "telephone_number": "918-764-8516",
            "fax_number": "918-764-8514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 E 21ST ST STE 325",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741141403",
            "telephone_number": "918-764-8516",
            "fax_number": "918-764-8514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESLEY V LANDIS MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-12",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A",
        "authorized_official_last_name": "LANDIS",
        "authorized_official_first_name": "LESLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-650-3452",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Landis Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Landis Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jared Lepley, D.O.
• Summer Lepley, D.O.
• Amy Michelle Lepper, MS, LPC, NCC
• Anthony Paul Lepre, DMD
• Katherine Marie Lesicka
• Lora Mae Leslie Demoss, LCSW
• Blake Justin Lesselroth, MD, MBI
• Jenny Elizabeth Lessley, DO
• Justin S. Lessley, P.T.
• Frank R Lester, DPH

• Plastic Surgery Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Plastic Surgery Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.