Landmark Medical of Tennessee PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

LANDMARK MEDICAL OF TENNESSEE PC

Practice address

8300 Norman Center Dr Ste 230
Bloomington, MN 55437-1050

Phone

(657) 400-5180

NPI assigned

Oct 7, 2022

Last updated

Oct 7, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Huy LeNPI 1750332409

Title

Chief Medical Officer

Phone

(657) 400-5180

Specialties & licenses 1

Addresses

Other names 1

• Minnesota Other name

Locations

Practitioners 1

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.

• Michael Huy Le, M.D.

  • Internal Medicine Physician
  • Huntington Beach, CA
  • NPI 1750332409
  Authorized official Same address or phone

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

{
    "created_epoch": "1665100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665100800000",
    "number": "1821713389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7755 CENTER AVE STE 630",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926479152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 NORMAN CENTER DR STE 230",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554371050",
            "telephone_number": "657-400-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDMARK MEDICAL OF TENNESSEE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-07",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "HUY",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "657-400-5180"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Minnesota",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cassandra Lall, M.D.
• Jack Michael Lamoine, OD
• Albert Ray Lamotte, OD
• Lamppa Chiropractic, PA (Active Life Chiropractic)
• Emory Marie Landis
• Cecilia Leigh Landon
• Thomas Lang, MD
• Morgan Dinardo Lange, PA-C
• Samantha Lange
• Adele Michiko Langeness, PHYSICIAN ASSISTANT

• General Practice Physician in Bloomington, MN
• Providers in Bloomington, MN by specialty
• General Practice Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; 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.