DR. MICHAEL LEROY LANDRUM (NPI# 1932280104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932280104 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL LEROY LANDRUM |
| Credential | M.D. |
| Practice Address |
744 S Webster Ave Green Bay WI 54301-3505 |
| Practice Telephone | 9204333456 |
| Practice Fax Number | 9204333469 |
| Mailing Telephone | 9204333456 |
| Mailing Fax Number | 9204333469 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2014-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
01054143A | IN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649481433 | Michael A Landrum | Neuromusculoskeletal Medicine & OMM | 0105 Edwards Village Blvd A203, Edwards, CO 81632-2637 | 2007-05-24 |
| Street Address |
744 S WEBSTER AVE |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54301-3505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851398283 | Sampoornima Setty | Internal Medicine | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2005-06-30 |
| 1447858857 | Caycie N Bray | Physical Therapist | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-10-16 |
| 1326645029 | Nikki Lee Leow | Registered Nurse | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-10-06 |
| 1033726914 | Patricia M Slempkes | Occupational Therapist | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-09-25 |
| 1255941746 | Cassandra Toellner | Anesthesiologist Assistant | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-08-09 |
| 1376151951 | Dayna Elizabeth Schneider | Speech-Language Pathologist | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-07-20 |
| 1164045092 | Robyn W Lauritsen | Registered Nurse | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-05-27 |
| 1831711860 | Ashley Elizabeth Mijal | Nurse Practitioner | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-05-13 |
| 1336760883 | Veronica B Hoppe | Pharmacist | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-05-06 |
| 1386264521 | Brian Joseph Eggener | Radiology | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-04-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386102465 | Parc Village Dental, LLC | Dentist | 2805 Libal Street, Suite A, Green Bay, WI 54301 | 2019-03-07 |
| 1598229478 | Shaina Marie Conner | Registered Nurse | 835 S Vanburen St, Green Bay, WI 54301 | 2019-01-25 |
| 1093298960 | Brown County | Case Management | 111 N. Jefferson Street, Green Bay, WI 54301 | 2018-09-07 |
| 1639609928 | Frontline Healthcare LLC | Specialist/Technologist, Other | 2221 S. Webster Ave. Suite 270, Greenbay, WI 54301 | 2017-06-19 |
| 1992242606 | Charmaine Rimple | Counselor | 526 South Monroe Avenue, Green Bay, WI 54301 | 2017-01-20 |
| 1962944819 | Rebecca Lucille Reinbold | Registered Nurse | 917 Catherine Street, Green Bay, WI 54301 | 2016-11-09 |
| 1730635061 | Melissa Kristof | Specialist/Technologist, Other | 1821 Sounth Webster Ave., Green Bay, WI 54301 | 2016-08-28 |
| 1255709747 | Vivian Sweetheart Bishop-cook | Counselor | 2920 South Webster Ave, Green Bay, WI 54301 | 2015-09-14 |
| 1881079960 | Chelsi S Weber | Registered Nurse | 2300 Riverside Dr., Ste 204, Green Bay, WI 54301 | 2015-07-30 |
| 1962816371 | Joelle M Hesse | Counselor | 630 Cherry St., Green Bay, WI 54301 | 2014-06-13 |
| Find all providers in zip 54301 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073063681 | Bellin Memorial Hospital Inc | Internal Medicine | 704 S Webster Ave, Suite 501, Green Bay, WI 54301-3528 | 2016-10-06 |
| 1942532528 | Adetunji A Adejumo | Internal Medicine | 835 S Van Buren St, Green Bay, WI 54301-3526 | 2010-02-05 |
| 1871720995 | Agnes Kecskemeti Kresch | Internal Medicine | 1715 Dousman St, Green Bay, WI 54303-3211 | 2009-06-16 |
| 1528121647 | Owusu-bekoe Opoku-owusu | Internal Medicine | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2006-12-19 |
| 1316037617 | Katherine M Torres | Internal Medicine | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2006-10-15 |
| 1215953062 | Sarah Jane Lulloff | Internal Medicine | 835 S Van Buren St, Green Bay, WI 54301-3526 | 2006-07-14 |
| 1316991169 | St Vincent Hospital-hospital Sisters-third Order of St Francis | Internal Medicine | 835 S Van Buren St, Green Bay, WI 54301-3526 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417318635 | Shalom Medical Inc | Internal Medicine | 977 Green Ridge Dr, De Pere, WI 54115-7656 | 2016-03-15 |
| 1689060188 | Loren Nunley | Internal Medicine | 8701 W Watertown Plank Rd # Huba8143, Milwaukee, WI 53226-3548 | 2015-04-10 |
| 1740420173 | Jeffrey Malden Jones | Internal Medicine | 5738 Richmond Dr, Fitchburg, WI 53719-1606 | 2009-02-25 |
| 1912144692 | Gerald J Dorff, Md | Internal Medicine | W358s2796 Highway 67, Dousman, WI 53118-9665 | 2009-01-16 |
| 1851434492 | Thomas H Dee | Internal Medicine | 3500 Oak Hill Ct, Brookfield, WI 53005-2115 | 2007-02-14 |
| 1568508307 | Matthew George Erickson | Internal Medicine | 2701 University Ave, Suite 414, Madison, WI 53705-3700 | 2007-01-29 |
| 1417039124 | Muhammad Asif Iqbal | Internal Medicine | 13880 W Prairie Ln, New Berlin, WI 53151-7509 | 2006-10-20 |
| 1144261827 | Mark Andrew Beilke | Internal Medicine | 4110 S. Lake Drive, Unit 47, St. Francis, WI 53235 | 2006-06-10 |
| 1871533265 | Ravindra Karmarkar, Md, Sc | Internal Medicine | 11625 N Riverland Rd, Mequon, WI 53092-2736 | 2006-06-07 |
| 1356380372 | Ravindra Shrinivas Karmarkar | Internal Medicine | 1700 E Juniper Way, Hartland, WI 53029-8669 | 2006-06-05 |
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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.