Robert Keith Landis, C.R.N.A.

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

041740 Issued in PA

Practice address

8292 S Ridge Dr
Macungie, PA 18062-9138

Phone

(610) 966-3163

NPI assigned

Jun 12, 2006

Last updated

Oct 19, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA, DE2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eastern Pennsylvania Endoscopy Center, LLCGroup PAC ID 4587994595, 14 clinicians

Nazareth Endoscopy Center, LLCGroup PAC ID 6002245776, 11 clinicians

College Heights Endoscopy Center LLCGroup PAC ID 2062468507, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• College Heights Endoscopy Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Allentown, PA
  • NPI 1578525515
  Medicare reassignment Care Compare group NPD
• Eastern Pennsylvania Endoscopy Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Allentown, PA
  • NPI 1972153997

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Nazareth Endoscopy Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Easton, PA
  • NPI 1508400920

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Lehigh Valley Anesthesia Services, P. C.

  • Certified Registered Nurse Anesthetist
  • Allentown, PA
  • NPI 1730174731

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Amsurg Lewes Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Lewes, DE
  • NPI 1437497930

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• College Heights Endoscopy Center LLC

  • Ambulatory Surgical Clinic/Center
  • Allentown, PA
  • NPI 1780686808
  NPD

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192752000000",
    "number": "1922040062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8292 S RIDGE DR",
            "city": "MACUNGIE",
            "state": "PA",
            "postal_code": "180629138",
            "telephone_number": "610-966-3163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8292 S RIDGE DR",
            "city": "MACUNGIE",
            "state": "PA",
            "postal_code": "180629138",
            "telephone_number": "610-966-3163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDIS",
        "first_name": "ROBERT",
        "middle_name": "KEITH",
        "credential": "C.R.N.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2007-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "041740",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN-254765L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "2258727000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1579397",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine Kuklinski, M.S., CCC-SLP
• Cristina T Lacertosa, M.S., CCC-SLP
• Maureen Lake, PTA
• Lamm & Associates Pediatric Therapy, Inc
• Laura Ann Lamm
• Ila Sue Lease, MS
• Adam L Leferovich, PA-C
• Lehigh Nursing Homes, Inc. (Lehigh Center)
• Lehigh Valley Physician Group (LVPG Family Medicine - Macungie)
• Lehigh Valley Physician Group (James J Freeman DO)

• Certified Registered Nurse Anesthetist in Macungie, PA
• Providers in Macungie, PA by specialty
• Certified Registered Nurse Anesthetist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.