Landis Podiatry LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

00890 Issued in MD

Legal business name

LANDIS PODIATRY LLC

Practice address

4136 E Joppa Rd
Suite L
Nottingham, MD 21236-2286

Phone

(410) 256-1188

Fax

(410) 256-1188

NPI assigned

Dec 7, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Andrew J Landis, DPMNPI 1710928973

Title

Doctor

Phone

(410) 256-1188

Specialties & licenses 1

Addresses

Other names 1

• Foot Center of Perry Hall Doing business as

Locations

Practitioners 1

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

• Andrew Jay Landis, DPM

  • Podiatrist
  • Nottingham, MD
  • NPI 1710928973
  NPD (past) Authorized official

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213488000000",
    "number": "1740349596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 371",
            "city": "PERRY HALL",
            "state": "MD",
            "postal_code": "211280371",
            "telephone_number": "410-256-1188",
            "fax_number": "410-256-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4136 E JOPPA RD",
            "address_2": "SUITE L",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212362286",
            "telephone_number": "410-256-1188",
            "fax_number": "410-256-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDIS PODIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-07",
        "last_updated": "2008-06-15",
        "status": "A",
        "authorized_official_last_name": "LANDIS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "410-256-1188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "00890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foot Center of Perry Hall",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alan Kutner, LMSW
• Blessing Temitope Laditan
• John A Lafferty, LMSW
• Uniquea Lancaster
• Thomas Justin Landers, L.AC.
• Andrew Jay Landis, DPM
• Jennifer L Lanzilotta, LMSW
• Lilian Akworkuo Lartey
• Lauring Dermatology LLC
• Oanh Lauring, MD

• Podiatrist in Nottingham, MD
• Providers in Nottingham, MD by specialty
• Podiatrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.