DR. STEPHEN ELLIS LANDAY


Address: 7109 Nw 11th Pl Ste E, Gainesville, FL 32605-3141
Phone: 3523316830

DR. STEPHEN ELLIS LANDAY (NPI# 1588054415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588054415
Entity Type Organization
Organization Name DR. STEPHEN ELLIS LANDAY
Practice Address 7109 Nw 11th Pl Ste E
Gainesville
FL 32605-3141
Practice Telephone 3523316830
Practice Fax Number 3523312573
Mailing Telephone 3523316830
Mailing Fax Number 3523312573
Enumeration Date 2015-01-30
Last Update Date 2015-01-30
Authorized Official Name DR. STEPHEN E LANDAY (DR.)
Authorized Official Telephone 3253316830
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
ME22129 FL Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
FL NPI 1255396107 01

Office Location

Street Address 7109 NW 11TH PL STE E
City GAINESVILLE
State FL
Zip Code 32605-3141

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1396235800 Aya Marachi Student in an Organized Health Care Education/Training Program 6500 W. Newberry Rd., Gainesville, FL 32605 2018-05-10
1053813543 Jaime L Jasser Counselor 2240 Nw 40th Terrace Ste A, Gainesville, FL 32605 2018-03-01
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1982126306 Crystal Thompson Baumann Nurse Practitioner 6440 W Newberry Rd Ste 409, Gainesville, FL 32605 2017-07-07
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649811928 Careatc Clinic/Center 1314 W Ridge Rd, Gainesville, GA 30501-6932 2019-10-08
1982143079 Celebrate Primary Care Clinic/Center 4400 Nw 23rd Ave Ste B, Gainesville, FL 32606-6562 2017-02-22
1053747188 Pediatrics & Family Medicine of Buena Vista, LLC Clinic/Center 10552 Nw 13th Ave, Gainesville, FL 32606-8088 2013-09-20
1558606335 Primary Care of Gainesville LLC Clinic/Center 1026 Sw 2nd Ave Ste C, Gainesville, FL 32601-8182 2012-12-04
1780709998 Innocent Odocha Md Pa Clinic/Center 816 Nw 13th St, Gainesville, FL 32601-2903 2007-03-20
1164443255 Shamal D Nadkarni Md Pa Clinic/Center 1026 Sw 2nd Ave, Suite D, Gainesville, FL 32601-6134 2006-07-22
1538794326 Psk Management LLC Clinic/Center 1364 Nw 121st Way, Gainesville, FL 32606-5274 2020-03-12
1720514029 Lakeside Family Medicine Clinic/Center 104 Carrington Park Dr Ste B, Gainesville, GA 30504-6603 2017-05-04
1124478078 Prosalud Medical Center Clinic/Center 1870 Atlanta Rd, Ste J, Gainesville, GA 30504-5948 2016-06-21
1124441241 Jones Family Medical, Pllc Clinic/Center 413 E Broadway St, Gainesville, TX 76240-4169 2014-01-24
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Competitor

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City GAINESVILLE
Zip Code 32605

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Dataset Information

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.

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