DR. LANDON S PRYOR (NPI# 1831306968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831306968 |
| Entity Type | Individual |
| Full Name | DR. LANDON S PRYOR |
| Credential | M.D. |
| Practice Address |
5995 Spring Creek Rd Rockford IL 61114-6481 |
| Practice Telephone | 8159774403 |
| Practice Fax Number | 8159775796 |
| Mailing Telephone | 8159774403 |
| Mailing Fax Number | 8159775796 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2019-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 036124349 | IL | Allopathic & Osteopathic Physicians |
| N | 208200000X | Plastic Surgery | A99159 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036124349 | 05 | |
| IL | BCBS | 10132215 | 01 |
| Street Address |
5995 SPRING CREEK RD |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61114-6481 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407468408 | Amanda Mcclimans | Nurse Practitioner | 5995 Spring Creek Rd, Rockford, IL 61114-6481 | 2020-08-20 |
| 1154942357 | Tps Facility LLC | Clinic/Center | 5995 Spring Creek Rd, Rockford, IL 61114-6481 | 2020-04-29 |
| 1437596186 | Franklin E Lew | Surgery | 5995 Spring Creek Rd, Rockford, IL 61114-6481 | 2013-06-03 |
| 1093152118 | Landon Pryor Md Sc | Plastic Surgery | 5995 Spring Creek Rd, Rockford, IL 61114-6481 | 2013-05-30 |
| 1578706594 | Turkia Mahmud Abbed | Plastic Surgery | 5995 Spring Creek Rd, Rockford, IL 61114-6481 | 2009-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366064560 | Caleb Ifeoluwa Oluwadamisi | Student in an Organized Health Care Education/Training Program | Mercy Health Javon Bea Hospital, 8201 East Riverside Boulevard, Rockford, IL 61114 | 2020-05-11 |
| 1811525959 | Seifeldin Eid | Student in an Organized Health Care Education/Training Program | Mercyhealthjavon Bea Hospital, 8201, East Riversideboulevard, IL 61114 | 2020-04-01 |
| 1073167664 | Swedishamerican Hospital | Internal Medicine | 3505 N Bell School Road, Rockford, IL 61114 | 2019-07-31 |
| 1154980076 | Anurag Gill | Student in an Organized Health Care Education/Training Program | 8201 East Riverside Boulevard, Mercy Health Javon Bea Hospital, Rockford, IL 61114 | 2019-06-13 |
| 1578121943 | Sona Najafi | Student in an Organized Health Care Education/Training Program | Mercyhealth Javon Bea Hospital, 8201 East Riverside Blvd, Rockford, IL 61114 | 2019-05-31 |
| 1760045744 | Julianna Jones | Counselor | 6653 Weaver Rd Ste 115, Rockford, IL 61114 | 2019-04-16 |
| 1952869943 | Angela Marie Hawkins | Nurse Practitioner | 8201 E. Riverside Blvd, Pediatric Neurology, Rockford, IL 61114 | 2019-03-08 |
| 1376029231 | Meghan Beth Teske | Chiropractor | 3779 N. Alpine Rd., Rockfod, IL 61114 | 2018-07-13 |
| 1811401284 | Summit Radiology, LLC | Clinic/Center | 3849 N. Perryville Road, Rockford, IL 61114 | 2017-11-21 |
| 1548704299 | Rockford Orthopedic Associates, Ltd | Durable Medical Equipment & Medical Supplies | 5929 E Riverside Blvd, Rockford, IL 61114 | 2016-12-15 |
| Find all providers in zip 61114 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740260637 | James S. Mcadoo | Plastic Surgery | 3065 N Perryville Rd, Ste 121, Rockford, IL 61114-8053 | 2006-01-18 |
| 1972926095 | Rejuvenation LLC | Plastic Surgery | 3065 N Perryville Rd, Ste 141, Rockford, IL 61114-8053 | 2014-01-24 |
| 1093152118 | Landon Pryor Md Sc | Plastic Surgery | 5995 Spring Creek Rd, Rockford, IL 61114-6481 | 2013-05-30 |
| 1578706594 | Turkia Mahmud Abbed | Plastic Surgery | 5995 Spring Creek Rd, Rockford, IL 61114-6481 | 2009-04-07 |
| 1922295328 | Advanced Facial Plastics & Mohs | Plastic Surgery | 1235 N Mulford Rd, Suite 100, Rockford, IL 61107-3879 | 2007-09-28 |
| 1114047586 | Beaute Emergente LLC | Plastic Surgery | 3065 N Perryville Rd, Ste 141, Rockford, IL 61114-8053 | 2007-03-30 |
| 1497899009 | Dhaval M Patel | Plastic Surgery | 698 Featherstone Rd, Rockford, IL 61107-6303 | 2007-02-16 |
| 1790894897 | Sarah E Hagarty | Plastic Surgery | 698 Featherstone Rd, Rockford, IL 61107-6303 | 2006-08-30 |
| 1043216112 | Joseph R Whiteley | Plastic Surgery | 2300 N Rockton Ave, Ste 304, Rockford, IL 61103-3619 | 2005-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093363236 | Stephen A Madry Md | Plastic Surgery | 27750 W Il Route 22 Ste 230, Barrington, IL 60010-1924 | 2019-08-30 |
| 1588129928 | Rosett Plastic Surgery, LLC | Plastic Surgery | 1149 Crofton Ave N, Highland Park, IL 60035-3953 | 2019-02-08 |
| 1922572411 | Plastic Surgery Services and Equipment LLC | Plastic Surgery | 3050 Finley Rd Ste 300b, Downers Grove, IL 60515-1369 | 2019-01-17 |
| 1710487095 | Bradley Ashpole Md LLC | Plastic Surgery | 501 W Golf Rd Ste A, Schaumburg, IL 60195-3502 | 2018-02-13 |
| 1821501586 | Plastic Surgery Clinic of Chicago LLC | Plastic Surgery | 850 S Wabash Ave Ste 310, Chicago, IL 60605-3642 | 2017-11-15 |
| 1720500085 | Warner Aesthetic & Reconstructive Institute | Plastic Surgery | 570 Lincoln Ave Lowr Level4, Winnetka, IL 60093-2355 | 2017-07-08 |
| 1902258874 | Rashid Plastic Surgery, LLC | Plastic Surgery | 804 W Trailcreek Drive, Peoria, IL 61614 | 2016-07-05 |
| 1073977369 | Subramaniam Arumugam | Plastic Surgery | 13020 S Winnebago Rd, Palos Heights, IL 60463-2056 | 2016-04-12 |
| 1598123424 | Craig Bradley | Plastic Surgery | 1035 W Rundell Pl, Chicago, IL 60607-2514 | 2016-02-06 |
| 1215346325 | Damian Gress | Plastic Surgery | 943 W 14th Pl, Unit 2 B, Chicago, IL 60608-2287 | 2014-08-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. LANDON S PRYOR.
| 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.