DR. LANDIS CROCKETT (NPI# 1134374150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134374150 |
| Entity Type | Individual |
| Full Name | DR. LANDIS CROCKETT |
| Other Name | DR. LANDIS CROCKETT |
| Credential | M.D., M.P.H. |
| Practice Address |
2964 Lakeview Point Rd Quincy FL 32351-0493 |
| Practice Telephone | 8506272729 |
| Mailing Telephone | 8506272729 |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2008-11-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
ME37607 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
2964 LAKEVIEW POINT RD |
| City | QUINCY |
| State | FL |
| Zip Code | 32351-0493 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922567627 | Porschia Moteka Johnson | Home Health | 1804 Mlk Jr Blvd, Quincy, FL 32351 | 2019-03-13 |
| 1841776556 | Caticia Shorter | Contractor | 315 Ray Road, Quincy, FL 32351 | 2018-07-16 |
| 1184170714 | Darlene Rollins Cunningham | Contractor | 716 Martin Luther King Jr. Blvd., Quincy, FL 32351 | 2016-09-01 |
| 1598186439 | Lydia Drayton | Technician, Pathology | 144 Gene Williams Rd, Quincy, FL 32351 | 2013-12-19 |
| 1609164987 | William Holzman | Dentist | 236 East Jefferson, Quincy, FL 32351 | 2011-07-20 |
| 1225338866 | Natalie S Franz | Registered Nurse | 278 Lasalle Lefall Dr., Qunicy, FL 32351 | 2010-10-29 |
| 1598915258 | Roiquista Ewana Harrison-albritton | Licensed Practical Nurse | 278 Dr. Lasalle Lefall, Quincy, FL 32351 | 2008-09-30 |
| 1265601835 | Crystal C Cutchins | Speech-Language Pathologist | 304 E. Jefferson St, Quincy, FL 32351 | 2008-02-27 |
| 1871761890 | Susan Nicholson Lajoie | Nurse Practitioner | 278 Dr. Lasalle Leffall Dr., Quincy, FL 32351 | 2008-02-12 |
| 1033399951 | Jill Mcelligott Welch | Midwife | 152 Winding Creek Rd, Quincy, FL 32351 | 2007-11-08 |
| Find all providers in zip 32351 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659912533 | Passport Health Holdings, LLC | Preventive Medicine | 111 Williard Street, Suite Gc, Quincy, MA 02169-1200 | 2019-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588272868 | Lifegaines Medical and Aesthetics | Preventive Medicine | 3785 N Federal Hwy, Suite 150, Boca Raton, FL 33431 | 2020-07-22 |
| 1174147193 | Virtu30 Telehealth Services | Preventive Medicine | 1540 16th St Ne, Naples, FL 34120-3447 | 2020-06-05 |
| 1407477821 | Paramount Medical Specialists | Preventive Medicine | 5550 Glades Road Suite, Ste 500, #1024, Boca Raton, FL 33431 | 2020-04-27 |
| 1659990521 | Nickson Henry | Preventive Medicine | 4700 Portofino Way Apt 201, West Palm Beach, FL 33409-8174 | 2020-04-10 |
| 1609402619 | Bro Roc, LLC | Preventive Medicine | 1809 Ne 59th St, Fort Lauderdale, FL 33308-2443 | 2020-03-21 |
| 1306353776 | Roxanne Summerville | Preventive Medicine | 1064 N Tamiami Trl Unit 1302, Sarasota, FL 34236-2475 | 2018-01-06 |
| 1659884039 | Donald Joseph Crane | Preventive Medicine | 3125 Merion Dr, Miramar Beach, FL 32550-7887 | 2017-11-08 |
| 1801257183 | Sofia Abigail Funes | Preventive Medicine | 8 Hemlock Circle Ct, Ocala, FL 34472-9092 | 2016-03-14 |
| 1669850640 | Lareece Long | Preventive Medicine | 715 Bellshire Way, Winter Garden, FL 34787-2430 | 2015-05-11 |
| 1770908477 | Robert David Willix Jr. | Preventive Medicine | 501 E Camino Real, Boca Raton, FL 33432-6127 | 2014-03-04 |
| Find all providers with the same taxonomy | ||||
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| 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.