Individual provider Active NPI

Lewis A Landsman II, P.A.

  • Physician Assistant
  • Galveston, TX
National Provider Identifier
1922195791
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA02821 Issued in TX
Practice address
2808 61St St Ste 200
Galveston, TX 77551-2224
Phone
(281) 886-8964
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA02821 TX Primary

Addresses

Primary practice location

2808 61St St Ste 200
Galveston, TX 77551-2224

Mailing address

2600 FM 1764 Rd
Ste 190
La Marque, TX 77568-2826
Phone (281) 886-8964

Other practice location 1

2600 FM 1764 Rd
Ste 190
La Marque, TX 77568-2826
Phone (281) 886-8964 ext. 9189

Other identifiers 3

IdentifierTypeStateIssuer
DD5409OtherTXRAILROAD MEDICARE GROUP
PA02821OtherTXPHYSICIAN ASST
8Y2310OtherTXBCBS INDIVIDUAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Employee Assistance Program Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1922195791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 FM 1764 RD",
            "address_2": "STE 190",
            "city": "LA MARQUE",
            "state": "TX",
            "postal_code": "775682826",
            "telephone_number": "281-886-8964",
            "fax_number": "409-440-8071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 61ST ST STE 200",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775512224",
            "telephone_number": "281-886-8964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 FM 1764 RD",
            "address_2": "STE 190",
            "address_purpose": "LOCATION",
            "city": "LA MARQUE",
            "state": "TX",
            "postal_code": "775682826",
            "country_code": "US",
            "telephone_number": "281-886-8964 x9189",
            "fax_number": "409-440-8071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANDSMAN",
        "first_name": "LEWIS",
        "middle_name": "A",
        "name_suffix": "II",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA02821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "DD5409",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASST",
            "identifier": "PA02821",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL",
            "identifier": "8Y2310",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

Verify at the official NPI Registry.