DR. LLOYD B LANDIS (NPI# 1174611875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174611875 |
| Entity Type | Individual |
| Full Name | DR. LLOYD B LANDIS |
| Credential | DPM |
| Practice Address |
2002 12th Avenue Nw Suite F Ardmore OK 73401 |
| Practice Telephone | 5802230718 |
| Practice Fax Number | 5802230719 |
| Mailing Telephone | 5802230718 |
| Mailing Fax Number | 5802230719 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2014-01-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 217 | OK | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MC | P00093162 | 01 |
| Street Address |
2002 12TH AVENUE NW SUITE F |
| City | ARDMORE |
| State | OK |
| Zip Code | 73401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174611578 | James Q Mcclelland | Podiatrist | 2002 12th Avenue Nw, Suite F, Ardmore, OK 73401 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497391452 | Abbie Deeann Mclemore | Nurse Practitioner | 915 10th Ave, Ardmore, OK 73401 | 2019-11-25 |
| 1790349991 | Shirley Denise Brown | Licensed Psychiatric Technician | 1219 Kst N.w, 1219 Kst N.w, Ardmore, OK 73401 | 2019-04-24 |
| 1427512359 | Billy Joe Oshields | Case Manager/Care Coordinator | 6862 State Hwy 199 Ardmore Oklahoma, 6862 State Hwy 199, Ardmore, OK 73401 | 2019-01-24 |
| 1174007595 | Tawnya Dawn Peery | Nurse Practitioner | 1108 W. Walnut Drive, Ardmore, OK 73401 | 2018-09-21 |
| 1679055016 | Teresa Marie Hernandez | Behavior Technician | 1219 K St. Nw, Ardmore, OK 73401 | 2018-09-01 |
| 1063991974 | Sawyer Rae Shamburger | Occupational Therapy Assistant | 208 North Praire St, Pilot Point, TX 73401 | 2018-08-10 |
| 1417473521 | Chelsye Bacon | Peer Specialist | 905 Holiday Drive, Ardmore, OK 73401 | 2017-08-21 |
| 1003279746 | Jeni Presley | Marriage & Family Therapist | Outpatient Services-ardmore; 2510 Chickasaw Dr., Strong Family Development;, Ardmore, OK 73401 | 2016-03-31 |
| 1982080909 | Alison Hill | Pharmacist | 1111 N. Commerce, Ardmore, OK 73401 | 2015-07-31 |
| 1316346547 | Olivia Larae Carrell | Counselor | 15 Monroe Street Ne, Ardmore, OK 73401 | 2014-08-13 |
| Find all providers in zip 73401 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427066919 | Eric Ricefield | Podiatrist | 39 Rittenhouse Pl, Ardmore, PA 19003-2209 | 2006-08-03 |
| 1265440762 | Your Next Step PC | Podiatrist | 39 Rittenhouse Place, Ardmore, PA 19003 | 2006-08-03 |
| 1932143757 | Leonard H Goldsmith | Podiatrist | 119 Mill Creek Rd, # H1n, Ardmore, PA 19003-1535 | 2006-06-15 |
| 1003889494 | Douglas F. Klepfer | Podiatrist | 694 Pont Reading Rd, First Floor, Ardmore, PA 19003-1917 | 2006-02-08 |
| 1225011786 | Michael R. Grossman | Podiatrist | 121 Coulter Ave, Suite 109, Ardmore, PA 19003-2418 | 2005-11-29 |
| 1417943978 | Richard B Cohen | Podiatrist | 119 Coulter Ave, Ardmore, PA 19003-2427 | 2005-09-21 |
| 1265963284 | Leonard H Goldsmith Dpm | Podiatrist | 119 Mill Creek Rd, H1n, Ardmore, PA 19003-1535 | 2017-03-22 |
| 1841354081 | Michael R. Grossman, Dpm | Podiatrist | 121 Coulter Ave, Suite 109, Ardmore, PA 19003-2418 | 2006-12-21 |
| 1174611578 | James Q Mcclelland | Podiatrist | 2002 12th Avenue Nw, Suite F, Ardmore, OK 73401 | 2006-10-11 |
| 1831107325 | Mark Christopher Yagodich | Podiatrist | 39 Rittenhouse Pl, Ardmore, PA 19003-2209 | 2006-08-03 |
| Find all providers in ARDMORE | ||||
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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.