DR. LESLIE GRACE LANDRUM (NPI# 1104842483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104842483 |
| Entity Type | Individual |
| Full Name | DR. LESLIE GRACE LANDRUM |
| Credential | M.D. |
| Practice Address |
1100 N College Ave Fayetteville AR 72703-1944 |
| Mailing Address |
3232 N Northhills Blvd Fayetteville AR 72703-4005 |
| Practice Telephone | 4794434301 |
| Mailing Telephone | 4797507799 |
| Mailing Fax Number | 4797515744 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2020-03-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | C7717 | AR | Allopathic & Osteopathic Physicians |
| Y | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
C7717 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 121329001 | 05 | |
| MO | 1104842483 | 05 | |
| OK | 100077480A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3232 N Northhills Blvd, Fayetteville, AR 727034005 | 4797507799 | 4797515744 |
| 808 S 52nd St, Rogers, AR 727588602 | 4795871700 |
| Street Address |
1100 N COLLEGE AVE |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703-1944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265435697 | Randall B Davis | Specialist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2005-05-31 |
| 1548870462 | Anna Parker | Pharmacist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-08-05 |
| 1912522095 | Shan M Khan | Dentist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-06-14 |
| 1760003495 | Andrea G. Burnett | Respiratory Therapist, Registered | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-05-05 |
| 1396366092 | Robin Elizabeth Bush | Respiratory Therapist, Registered | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-05-04 |
| 1295356186 | Brock Helfrich | Optometrist | 1100 N College Ave, Fayetteville, AR 72703-1999 | 2020-05-01 |
| 1285255661 | Curtis Deon Burnley Jr. | Optometrist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-04-27 |
| 1871113878 | Katherine Lynn Horn | Optometrist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-04-20 |
| 1649890930 | William Colton Cheek | Optometrist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-04-16 |
| 1487285995 | Kristen Schatzman | Social Worker | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
| 1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
| 1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
| 1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
| 1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
| 1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
| 1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
| Find all providers in zip 72703 | ||||
| Taxonomy Code | 207RH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hospice and Palliative Medicine |
| An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215245634 | Ginpen, LLC | Internal Medicine | 238 Old Norton Rd, Fayetteville, GA 30215-4921 | 2010-09-20 |
| 1316486640 | Cumberland County Hospital System Inc | Internal Medicine | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2017-02-20 |
| 1629251715 | Neha Shah | Internal Medicine | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2007-12-11 |
| 1043434202 | Juan I Lombeida | Internal Medicine | 3232 N North Hills Blvd, Fayetteville, AR 72703 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558909192 | Share Foundation | Internal Medicine | 2301 Champagnolle Rd, El Dorado, AR 71730-4816 | 2019-12-13 |
| 1568975761 | Reeves Medical Associates, Pllc | Internal Medicine | 1415 E Centerton Blvd, Centerton, AR 72719 | 2017-11-09 |
| 1205202728 | Arkansas Palliative Care, LLC | Internal Medicine | 14 Parkstone Circle, North Little Rock, AR 72116-7086 | 2015-08-19 |
| 1386179000 | Arkansas Health Group | Internal Medicine | 9601 Baptist Health Dr, Little Rock, AR 72205-6321 | 2017-05-01 |
| 1164770731 | Rachel Jones | Internal Medicine | 4300 W 7th St, Little Rock, AR 72205-5446 | 2012-08-29 |
| 1093063042 | Arkansas Hospice, Inc. | Internal Medicine | 14 Parkstone Cir, North Little Rock, AR 72116-7086 | 2012-08-23 |
| 1063704302 | Heather Christine Moore | Internal Medicine | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2011-05-04 |
| 1407174295 | Jaclynn Lehman Elias | Internal Medicine | 9601 Baptist Health Dr, Little Rock, AR 72205-6321 | 2010-05-04 |
| 1114159019 | Joel Jose Martinez Ramirez | Internal Medicine | 4300 West 7th St, Ofc 111/lr, Little Rock, AR 72205-5484 | 2009-08-12 |
| 1568635449 | Robin Gaye Devan | Internal Medicine | 4301 W Markham St # 508, Little Rock, AR 72205-7101 | 2008-04-10 |
| Find all providers with the same taxonomy | ||||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
Please comment or provide details below to improve the information on DR. LESLIE GRACE LANDRUM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.