Landmark Medical

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

LANDMARK MEDICAL

Practice address

103 Jordan Dr
Chattanooga, TN 37421-6715

Phone

(423) 805-5113

Fax

(423) 805-5139

NPI assigned

Jun 1, 2015

Organization subpart

No

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

Authorized official

Name

Christian Stovall

Title

President

Phone

(901) 233-9201

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446768000000",
    "number": "1801276316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 JORDAN DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374216715",
            "telephone_number": "423-805-5113",
            "fax_number": "423-805-5139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 JORDAN DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374216715",
            "telephone_number": "423-805-5113",
            "fax_number": "423-805-5139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDMARK MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-01",
        "last_updated": "2015-11-06",
        "status": "A",
        "authorized_official_last_name": "STOVALL",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-233-9201"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mollie Lynn Lancaster, LMSW
• Callie B Lance, D.C., M.S.
• Meredith Lance
• April Lander, SLP-CCC
• Grayson L Landers, PA-C
• Daniel Lane
• Gracelyn Ray Lane
• Linda Lee Lane, LCSW
• Payton Tyler Lane, DMD
• Tracy Nicole Lane, DPH

• General Practice Physician in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• General Practice Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; 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.