MARK LANDIS (NPI# 1912128588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912128588 |
| Entity Type | Individual |
| Full Name | MARK LANDIS |
| Credential | N.P. |
| Practice Address |
700 Prides Xing Ste 200 Newark DE 19713-6109 |
| Practice Telephone | 3029980300 |
| Practice Fax Number | 3025438456 |
| Mailing Telephone | 3029980300 |
| Mailing Fax Number | 3025438456 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | L1-0026969 | DE | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508330531 | Mark Landis | Physical Therapy Assistant | 970 Colonial Ave, York, PA 17403-3430 | 2019-01-12 |
| 1205265923 | Mark Douglas Landis | Psychologist | 901 Dulaney Valley Rd, Suite 129, Towson, MD 21204-2600 | 2013-11-04 |
| 1225236771 | Mark Allen Landis | Family Medicine | 4891 E Main St, Erin, TN 37061-0469 | 2007-07-06 |
| Street Address |
700 PRIDES XING STE 200 |
| City | NEWARK |
| State | DE |
| Zip Code | 19713-6109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487695987 | Michael T. Teixido | Specialist | 700 Prides Xing Ste 200, Newark, DE 19713-6109 | 2006-06-08 |
| 1942729819 | Thomas Graves | Allergy & Immunology | 700 Prides Xing Ste 200, Newark, DE 19713-6109 | 2017-09-12 |
| 1033455381 | Junfang Jiao | Allergy & Immunology | 700 Prides Xing Ste 200, Newark, DE 19713-6109 | 2012-12-13 |
| 1386946333 | Ent and Allergy of Delaware LLC | Specialist | 700 Prides Xing Ste 200, Newark, DE 19713-6109 | 2010-11-24 |
| 1114239407 | Jonathan J. Romak | Otolaryngology | 700 Prides Xing Ste 200, Newark, DE 19713-6109 | 2010-07-02 |
| 1710116462 | Gregg H Goldstein | Otolaryngology | 700 Prides Xing Ste 200, Newark, DE 19713-6109 | 2009-07-02 |
| 1225249113 | Sokun Ky Bhatti | Allergy & Immunology | 700 Prides Xing Ste 200, Newark, DE 19713-6109 | 2007-05-24 |
| 1144258120 | Quan Chung Nguyen | Allergy & Immunology | 700 Prides Xing Ste 200, Newark, DE 19713-6109 | 2006-06-29 |
| 1427092501 | William Macon Sheppard IIi | Otolaryngology | 700 Prides Xing Ste 200, Newark, DE 19713-6109 | 2006-06-16 |
| 1700828332 | Kieran M. Connolly | Specialist | 700 Prides Xing Ste 200, Newark, DE 19713-6109 | 2006-06-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574490 | Stacie Guyton | Nurse Practitioner | 4501 Ogletown Stanton Road, Newark, DE 19713 | 2020-09-25 |
| 1225674633 | Michael Francis Stant | Specialist/Technologist | Delaware Field House, 617 South College Avenue Rm 111b, Newark, DE 19713 | 2019-11-20 |
| 1528559457 | Sarah Mun | Physician Assistant | 4755 Ogletown Stanton Rd, Newark, DE 19713 | 2018-05-26 |
| 1568983286 | Clarice Wanisku Kariuki | Licensed Practical Nurse | 15 Prestbury Square, Suite 14, Nweark, DE 19713 | 2017-07-03 |
| 1679029870 | Auxilia Akala | Nurse Practitioner | 1082 Churchmans Rd, Newrk, DE 19713 | 2016-08-28 |
| 1003369851 | Yawar Abbas | Psychiatry & Neurology | Rockford Center, 100 Rockford Dr, Newark, DE 19713 | 2016-07-28 |
| 1700245925 | Debra Hutz | Counselor | 25 Omega Dr., Professional Center #j, Newark, DE 19713 | 2016-02-16 |
| 1376918201 | Aquiles Igleisias | Speech-Language Pathologist | 540 South College Avenue, Newark, DE 19713 | 2015-12-03 |
| 1639547359 | Kylee Rose | Social Worker | 901 S. Chapel Street, Newark, DE 19713 | 2015-09-11 |
| 1932503976 | Kathleen Madara | Physical Therapist | 540 S College Ave, Suite 210, University of Delaware, Newark, DE 19713 | 2014-10-20 |
| Find all providers in zip 19713 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407497 | Brooke Ashley Sforza | Nurse Practitioner | 7518 Linnville Rd, Newark, OH 43056-9340 | 2020-11-03 |
| 1518574490 | Stacie Guyton | Nurse Practitioner | 4501 Ogletown Stanton Road, Newark, DE 19713 | 2020-09-25 |
| 1104431352 | Robert Storm Speelman | Nurse Practitioner | 1155 Saxony Dr, Newark, OH 43055-5643 | 2020-09-14 |
| 1770133613 | Brooke Elise Abraham | Nurse Practitioner | 131 Rocky Fork Dr, Newark, OH 43055-8929 | 2019-09-12 |
| 1639636236 | Danielle Ashley Westenberger | Nurse Practitioner | 201 Lyons Ave # L4, Newark, NJ 07112-2027 | 2019-03-01 |
| 1407321482 | Jessie L Powell | Nurse Practitioner | 4755 Ogletown Stanton Rd Dept, Newark, DE 19718-2200 | 2018-10-05 |
| 1851892954 | Chito Pascual | Nurse Practitioner | 7600 Gateway Blvd., Newark, CA 94560 | 2018-02-23 |
| 1588192421 | Kareemah Hammond | Nurse Practitioner | 280 E Main St Ste 112, Newark, DE 19711-7324 | 2017-05-23 |
| 1285168070 | Lin Chen | Nurse Practitioner | 201 Lyons Ave Ste D12, Newark, NJ 07112-2027 | 2017-04-18 |
| 1700329331 | Fanta Schwarz | Nurse Practitioner | 514 W Hummock Ln, Newark, DE 19702-1498 | 2016-11-30 |
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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.