TROY A LANDES (NPI# 1447227293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447227293 |
| Entity Type | Individual |
| Full Name | TROY A LANDES |
| Credential | PA |
| Practice Address |
201 Main Marsing ID 83639 |
| Mailing Address |
211 16th Ave N Po Box 9 Nampa ID 83687-4058 |
| Practice Telephone | 2088964159 |
| Practice Fax Number | 2088964917 |
| Mailing Telephone | 2084617149 |
| Mailing Fax Number | 2084673391 |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2011-11-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | MA050718 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | DEA | ML0765567 | 01 |
| PA | HEALTH AMERICA | 498815 | 01 |
| PA | LICENSE | MA050718 | 01 |
| PA | CAPITAL BLUECROSS | 50064072 | 01 |
| PA | INFORMED | 25-1716306 | 01 |
| PA | INTERGROUP | 25-1716306 | 01 |
| PA | SOUTH CENTRAL PREFERRED | 25-1716306 | 01 |
| PA | MEDICARE GROUP # | 1007307260034 | 01 |
| PA | DEPT OF LABOR | 120420414 | 01 |
| Street Address |
201 MAIN |
| City | MARSING |
| State | ID |
| Zip Code | 83639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508480575 | Jodie D Callison | Dentist | 201 Main, Marsing, ID 83639 | 2020-06-04 |
| 1336345511 | Community Health Clinics Inc | Clinic/Center | 201 Main, Marsing, ID 83639 | 2007-06-25 |
| 1861406571 | Community Health Clinics Inc | Clinic/Center | 201 Main, Marsing, ID 83639 | 2006-07-28 |
| 1548220874 | Faith Young Peterson | Nurse Practitioner | 201 Main, Marsing, ID 83639 | 2006-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316117005 | Mna Gibson P.C. | Chiropractor | 7a Reich St., Marsing, ID 83639 | 2008-03-10 |
| 1235335415 | Marsing Ambulance Service Inc | Ambulance | 303 Main, Marsing, ID 83639 | 2007-06-25 |
| 1427254606 | Community Health Clinics Inc | Clinic/Center | 205 8th Ave W., Hwy 78, Marsing, ID 83639 | 2007-06-25 |
| 1518094648 | Kathleen J. Mckay | Chiropractor | 7 A Reich, Marsing, ID 83639 | 2007-02-27 |
| 1376058677 | Community Health Clinics Inc | Clinic/Center | 201 Main St, Marsing, ID 83639 | 2017-12-08 |
| 1962608141 | Community Health Clinics Inc | Clinic/Center | 201 Main Street, Marsing, ID 83639 | 2007-06-25 |
| 1538378781 | Community Health Clinics Inc | Clinical Medical Laboratory | 201 Main Street, Marsing, ID 83639 | 2007-05-22 |
| 1407899255 | Rebecca L Ratcliff | Family Medicine | 201 Main St., Marsing, ID 83639 | 2006-06-13 |
| 1720083439 | Mark William Gibson | Chiropractor | 7a Reich Street, Marsing, ID 83639-0252 | 2005-06-17 |
| 1780198374 | Deborah Lynn Carter | Home Health Aide | 5608 Van Rd, Marsing, ID 83639-8182 | 2017-11-20 |
| Find all providers in zip 83639 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821695792 | Chelsea Dylan Tennent | Physician Assistant | 1666 E Gentlewind St, Boise, ID 83706-5914 | 2020-10-05 |
| 1922615848 | Allison Cluff | Physician Assistant | 1320 Bennett Ave, Burley, ID 83318-2665 | 2020-09-24 |
| 1245846187 | Adam Baker | Physician Assistant | 271 Jefferson St, Blackfoot, ID 83221-1818 | 2020-09-16 |
| 1265045199 | Julia Claire Brodie | Physician Assistant | 2352 N Apple Ln, Pocatello, ID 83204-7231 | 2020-08-29 |
| 1326651035 | Jenna Marie Castillo | Physician Assistant | 150 Taft Ave, Pocatello, ID 83201-5140 | 2020-08-24 |
| 1174148696 | Colton Jason Randall | Physician Assistant | 3885 Orchard Cir, Ammon, ID 83406-4656 | 2020-06-10 |
| 1871114553 | Samantha Tess Goodrich | Physician Assistant | 721 E Lenz St, Boise, ID 83712-7846 | 2020-05-04 |
| 1174164305 | Tessie Mari Mcinnally | Physician Assistant | 3015 E Magic View Dr # 115, Meridian, ID 83642-3743 | 2019-09-29 |
| 1013562305 | Brianna Suzanne Berg | Physician Assistant | 12535 N Fawn Ct, Hayden, ID 83835-8827 | 2019-08-05 |
| 1003376559 | Kodie Thomas | Physician Assistant | 2086 Picket Ln, Emmett, ID 83617-9104 | 2019-03-21 |
| 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.