Organization Active NPI

Landmark Medical of Pennsylvania PC

  • General Practice Physician
  • Harrisburg, PA
National Provider Identifier
1689035982
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
LANDMARK MEDICAL OF PENNSYLVANIA PC
Practice address
2401 Park Dr Ste 101
Harrisburg, PA 17110-9303
Phone
(717) 686-9842
Fax
(844) 803-8108
NPI assigned
Mar 14, 2016
Last updated
Jan 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Authorized official

Name
Christopher Dennis, MDNPI 1811068349
Title
Physician
Phone
(657) 400-5180

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

2401 Park Dr Ste 101
Harrisburg, PA 17110-9303

Mailing address

7755 Center Ave
630
Huntington Beach, CA 92647-3007

Other practice location 1

1512 Shaker Ct
Sewickley, PA 15143-8789
Phone (877) 240-3112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170503000093 PA Part B Supplier - Clinic/Group Practice 7719264647 Receives reassigned benefits from 4 practitioners
Practice locations: Harrisburg, PA

National Provider Directory

National Provider Directory

Locations

2401 Park Dr
Ste 101
Harrisburg, PA 17110
Phone (717) 686-9842

2405 Park Dr
Ste 201
Harrisburg, PA 17110
Phone (717) 686-9842

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1457913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1689035982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7755 CENTER AVE",
            "address_2": "630",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 PARK DR STE 101",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171109303",
            "telephone_number": "717-686-9842",
            "fax_number": "844-803-8108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1512 Shaker Ct",
            "address_purpose": "LOCATION",
            "city": "Sewickley",
            "state": "PA",
            "postal_code": "151438789",
            "country_code": "US",
            "telephone_number": "877-240-3112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LANDMARK MEDICAL OF PENNSYLVANIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-14",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "657-400-5180",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.