Marshall L Land Jr., M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Practice address

52 Timberlane
South Burlington, VT 05403-7296

Phone

(802) 658-2320

Fax

(802) 863-6933

NPI assigned

Jul 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Pediatric Medicine, PLC

  • Pediatrics Physician
  • South Burlington, VT
  • NPI 1487701140
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760496541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 TIMBERLANE",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037296",
            "telephone_number": "802-658-2320",
            "fax_number": "802-863-6933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 TIMBERLANE",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037296",
            "telephone_number": "802-658-2320",
            "fax_number": "802-863-6933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAND",
        "first_name": "MARSHALL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "26V022",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4763",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4763",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rony N Lahoud
• Bettina D Laidley, DMD
• Lake Champlain Gynecologic Oncology, PC
• Kate Lamancuso, MD
• Bruce Lancer
• Kristen Lyons Landerman, M.S.
• Katherine A Lane, MD
• Ann S Laramee, APRN, BC
• Karen Ann Larrow
• Juli A Larson, MD

• Pediatrics Physician in South Burlington, VT
• Providers in South Burlington, VT by specialty
• Pediatrics Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.