GEORGE HAROLD LANDIS (NPI# 1730182270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730182270 |
| Entity Type | Individual |
| Full Name | GEORGE HAROLD LANDIS |
| Credential | MD |
| Practice Address |
109 Bushaway Rd Suite 200 Wayzata MN 55391-1945 |
| Mailing Address |
Po Box 667 Circle Pines MN 55014-0667 |
| Practice Telephone | 7635518985 |
| Practice Fax Number | 7635514897 |
| Mailing Telephone | 7635518985 |
| Mailing Fax Number | 7635514897 |
| Enumeration Date | 2005-05-29 |
| Last Update Date | 2012-02-15 |
| NPI Deactivation Date | 03/17/2006 |
| NPI Reactivation Date | 2006-03-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
34623 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 943224800 | 05 |
| Street Address |
109 BUSHAWAY RD SUITE 200 |
| City | WAYZATA |
| State | MN |
| Zip Code | 55391-1945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568809697 | Thomas Patrick Stecker | Chiropractor | 109 Bushaway Rd, Suite #100, Wayzata, MN 55391-1945 | 2013-05-30 |
| 1952657124 | Nicole Holmes | Dentist | 109 Bushaway Rd, Suite 300, Wayzata, MN 55391-1945 | 2012-07-25 |
| 1801183082 | Julia Ann Herman | Dentist | 109 Bushaway Rd, Suite 300, Wayzata, MN 55391-1945 | 2011-07-07 |
| 1861792376 | Simona Rae Whiley | Massage Therapist | 109 Bushaway Rd, Suite 200, Wayzata, MN 55391-1945 | 2010-10-31 |
| 1811142300 | Life Chiropractic: A Wellness Centre, P.C. | Chiropractor | 109 Bushaway Rd, Suite 100, Wayzata, MN 55391-1945 | 2008-11-25 |
| 1932373180 | James Nehl Mckone | Dentist | 109 Bushaway Rd, Suite 300, Wayzata, MN 55391-1945 | 2008-04-18 |
| 1851569883 | Rajni Shah | Optometrist | 109 Bushaway Rd, Ste 300, Wayzata, MN 55391-1945 | 2008-02-12 |
| 1255533667 | Northland Billing Services | Contractor | 109 Bushaway Rd, Suite 300, Wayzata, MN 55391-1945 | 2007-06-05 |
| 1265509350 | Landis Plastic Surgery P C | Surgery | 109 Bushaway Rd, Suite 200, Wayzata, MN 55391-1945 | 2006-11-30 |
| 1922185016 | Lake Minnetonka Dental | Dentist | 109 Bushaway Rd, Suite 300, Wayzata, MN 55391-1945 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386456 | Alexandra Lloyd Conroy | Counselor | 3227 Lake Shore Boulevard, Minnetonka, MN 55391 | 2020-11-07 |
| 1417579178 | Kate Anne Schroeder | Behavioral Analyst | 901 Twelve Oaks Center Drive Suite 934, Wayzata, MN 55391 | 2020-05-15 |
| 1467940478 | Tyler Michael Knutson | Chiropractor | 1421 E Wayzata Blvd, Wayzata, MN 55391 | 2018-04-25 |
| 1427552025 | Emma Nadler, L.L.C. | Counselor | 700 Twelve Oaks Center Dr. #263, Wayzata, MN 55391 | 2018-03-20 |
| 1730687757 | Global Home Care Inc | Home Health | 1001 Twelve Oaks Center Drive, Suite 1018, Wayzata, MN 55391 | 2018-01-24 |
| 1205362472 | Oraphanh Vongpheth Smith | Registered Nurse | 801 Twelve Oaks Center Drive, Suite 822, Wayzata, MN 55391 | 2017-05-10 |
| 1386189272 | Wayzata Endodontics, P.a. | Dentist | 101 Lake Street West, Suite 100, Wayzata, MN 55391 | 2016-12-30 |
| 1952763351 | Watershed Psychological Services | Clinic/Center | 4255 Pheasant Ridge Drive, Suite 412, Blaine, MN 55391 | 2016-03-24 |
| 1477923571 | Robert J. Floren | Marriage & Family Therapist | 801 Twelve Oaks Center Dr Ste 816a, Wayzata, MN 55391 | 2015-10-01 |
| 1194101055 | Bruce Martinson Family & Cosmetic Dentistry | Dentist | 317 E Wayzata Blvd, Wayzata, MN 55391 | 2015-08-03 |
| Find all providers in zip 55391 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124046933 | John A Ness | Surgery | 935 Wayzata Blvd E Ste 200, Wayzata, MN 55391-2513 | 2006-07-18 |
| 1851991079 | Omni Medical Center Pllc | Surgery | 935 Wayzata Blvd E Ste 200, Wayzata, MN 55391-2513 | 2020-10-27 |
| 1265509350 | Landis Plastic Surgery P C | Surgery | 109 Bushaway Rd, Suite 200, Wayzata, MN 55391-1945 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295344810 | Kovanda Aesthetic Surgery | Surgery | 3033 Excelsior Blvd Ste 10, Minneapolis, MN 55416-5147 | 2020-07-29 |
| 1457519571 | Frank L Wolf Md Pa | Surgery | 324 West Superior Street, Suite 1025, Duluth, MN 55802-1777 | 2008-05-27 |
| 1427248210 | Dr. Jonathan Witzke, Pa | Surgery | 7373 France Ave S Ste 510, Edina, MN 55435-4551 | 2007-07-27 |
| 1144248956 | Thomas L Satterberg | Surgery | 3701 12th Street N, Suite 100, St Cloud, MN 56303 | 2006-07-18 |
| 1790778090 | James Philip Wire | Surgery | 3000 Hundertmark Rd, Suite 6, Chaska, MN 55318-1150 | 2005-08-23 |
| 1578569539 | Richard S Werner | Surgery | 6545 France Ave. S, Suite 276, Edina, MN 55435 | 2005-06-24 |
| 1518484930 | Allina Health System | Surgery | 800 E 28th St, Minneapolis, MN 55407-3723 | 2017-08-25 |
| 1679885164 | Harrington Plastic Surgery, Pa | Surgery | 7373 France Ave S, 510, Edina, MN 55435-4534 | 2010-07-13 |
| 1447484159 | Kovanda Plastic Surgery, Pllc | Surgery | 4999 France Ave S Ste 210, Edina, MN 55410-2168 | 2009-05-08 |
| 1093954877 | Liana M. Lugo | Surgery | 3701 12th St N, Suite 100, Saint Cloud, MN 56303-2255 | 2009-02-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GEORGE HAROLD LANDIS.
| 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.