DR. ISRAEL LANDA (NPI# 1255536165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255536165 |
| Entity Type | Individual |
| Full Name | DR. ISRAEL LANDA |
| Credential | M.D |
| Practice Address |
2700 Wayne Memorial Drive Emergency Department Goldsboro NC 27534 |
| Mailing Address |
6300 Cass Holt Rd Holly Springs NC 27540-9759 |
| Practice Telephone | 9197316060 |
| Practice Fax Number | 9197316534 |
| Mailing Telephone | (312) 420-4878 |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2018-06-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 059817 | GA | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | 201300437 | NC | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 336.079381 | IL | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | MD430239 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA CERTIFICATION | FL4309983 | 01 | |
| NC | NC MEDICAL LICENSE | 201300437 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1910 Lynwood Ln, Apt/suite, Albany, GA 317073755 | 3124204878 |
| Street Address |
2700 WAYNE MEMORIAL DRIVE EMERGENCY DEPARTMENT |
| City | GOLDSBORO |
| State | NC |
| Zip Code | 27534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598813982 | Jeannette Jones Schuster | Nurse Anesthetist, Certified Registered | 2700 Wayne Memorial Drive, Goldsboro, NC 27534 | 2007-01-08 |
| 1942576863 | Imran Quyyum | Internal Medicine | 2700 Wayne Memorial Drive, Attn: Angie Newton, Coordinator, Medical Staff Services, Goldsboro, NC 27534 | 2012-03-25 |
| 1285957209 | Jamie Harrell Richards | Nurse Anesthetist, Certified Registered | 2700 Wayne Memorial Drive, Goldsboro, NC 27534-9459 | 2010-03-04 |
| 1205058815 | Cynthia Creech Weeks | Pharmacist | 2700 Wayne Memorial Drive, Pharmacy Dept, Goldsboro, NC 27534 | 2007-05-03 |
| 1740335322 | Amy R Willoughby | Registered Nurse | 2700 Wayne Memorial Drive, Goldsboro, NC 27534 | 2007-01-24 |
| 1316091168 | Stephen Lewis Kornegay | Registered Nurse | 2700 Wayne Memorial Drive, Goldsboro, NC 27534 | 2007-01-22 |
| 1750433207 | Tammy James Kincaid | Registered Nurse | 2700 Wayne Memorial Drive, Goldsboro, NC 27534 | 2007-01-17 |
| 1528110996 | Crystal Allen Winstead | Registered Nurse | 2700 Wayne Memorial Drive, Goldsboro, NC 27534 | 2007-01-17 |
| 1063564789 | Paula Gryder Jarman | Nurse Anesthetist, Certified Registered | 2700 Wayne Memorial Drive, Goldsboro, NC 27534 | 2007-01-16 |
| 1891844437 | Catherine B Miller | Registered Nurse | 2700 Wayne Memorial Drive, Goldsboro, NC 27534 | 2007-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457875767 | Trent Jonathan Forshey | Physical Therapist | 2126 Wayne Memorial Dr, Goldsboro, NC 27534 | 2017-07-28 |
| 1336685551 | Wayne Al Holdings, LLC | Assisted Living Facility | 901 West New Hope Rd, Goldsboro, NC 27534 | 2017-01-11 |
| 1952845471 | Latoya Faulk | Social Worker | 121 Carolina Forest Drive, Goldsboro, NC 27534 | 2016-12-19 |
| 1528415841 | Kelby Joseph Sage Durnin | Military Health Care Provider | 1020 Jabara Avenue, Seymour Johnson Afb, NC 27534 | 2016-05-17 |
| 1528490604 | Eric Christian Bourgeois | Physical Therapist | 1101a Gracie Pl, Goldsboro, NC 27534 | 2013-07-31 |
| 1831439165 | Erica Nicole Davis | Optometrist | 20/20 Vision Center 625 North Berkeley Blvd, Suite D, Goldsboro, NC 27534 | 2013-02-23 |
| 1891039236 | Betty Webb Zimmerman | Nurse Practitioner | 204 Cox Blvd, Goldsboro, NC 27534 | 2012-11-26 |
| 1144595265 | Life Recovery Psychological Services | Counselor | 1202-c Wayne Memorial Dr, Goldsboro, NC 27534 | 2012-03-22 |
| 1558596536 | Taylor Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 802 Taylor St, Goldsboro, NC 27534 | 2009-05-20 |
| 1780895136 | Sherrie Fennell Edwards | Dietitian, Registered | 1500 Lanely Ave., Seymour Johnson Afb, Golsboro, NC 27534 | 2007-05-25 |
| Find all providers in zip 27534 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245235951 | Daniel Lowell Drotts | Emergency Medicine | 2700 Wayne Memorial Dr, Emergency Dept, Goldsboro, NC 27534-9494 | 2005-06-17 |
| 1942426507 | Bryon M Geer | Emergency Medicine | 2700 Wayne Memorial Dr, Emergency Room, Goldsboro, NC 27534-9494 | 2007-04-18 |
| 1184761868 | Phillip Walker Moye | Emergency Medicine | 2700 Wayne Memorial Dr, Emergency Dept, Goldsboro, NC 27534-9494 | 2007-01-31 |
| 1689637282 | Richard Butler | Emergency Medicine | 104 Adair Dr, Goldsboro, NC 27530-4516 | 2006-04-07 |
| 1598737207 | Graham Scott Meyer | Emergency Medicine | 104 Adair Dr, Goldsboro, NC 27530-4516 | 2006-02-06 |
| 1164418232 | Goldsboro Emergency Medical Specialists Inc | Emergency Medicine | 2700 Wayne Memorial Dr, Goldsboro, NC 27534-9494 | 2005-09-23 |
| 1598761892 | Terry Alan Grant | Emergency Medicine | 2700 Wayne Memorial Dr, Emergency Dept, Goldsboro, NC 27534-9494 | 2005-06-22 |
| 1851397079 | Gilbert Kirk Jones | Emergency Medicine | 2700 Wayne Memorial Dr, Emergency Dept, Goldsboro, NC 27534-9494 | 2005-06-22 |
| 1427054626 | Lloyd Hamlin Smith | Emergency Medicine | 2700 Wayne Memorial Dr, Goldsboro, NC 27534-9494 | 2005-06-22 |
| 1861497588 | Thomas M Knutson | Emergency Medicine | 2700 Wayne Memorial Dr, Emergency Dept, Goldsboro, NC 27534-9494 | 2005-06-17 |
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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.