TIMOTHY DONALD LANDIS (NPI# 1972601425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972601425 |
| Entity Type | Individual |
| Full Name | TIMOTHY DONALD LANDIS |
| Credential | MD |
| Practice Address |
5 Pine West Plz Suite 510 Albany NY 12205-5587 |
| Practice Telephone | 5186900203 |
| Mailing Telephone | 5186900203 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 210815-1 | NY | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881258168 | Timothy Michael Landis | Student in an Organized Health Care Education/Training Program | 170 Manning Dr Cb# 7025, Chapel Hill, NC 27599-4220 | 2019-04-23 |
| 1578555645 | Timothy R Landis | Optometrist | 559 Vincent St Bldg 959, Peterson Afb, CO 80914-1541 | 2005-08-16 |
| 1801819032 | Timothy Alan Landis | Social Worker | 518 28 Rd, Suite A207, Grand Junction, CO 81501-6556 | 2006-07-26 |
| Street Address |
5 PINE WEST PLZ SUITE 510 |
| City | ALBANY |
| State | NY |
| Zip Code | 12205-5587 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306803952 | Alex Y Shchipkov | Dentist | 5 Pine West Plz, Washington Ave Extension, Albany, NY 12205-5587 | 2006-04-27 |
| 1528577434 | Joy C Farrell | Counselor | 5 Pine West Plz, Albany, NY 12205-5593 | 2017-09-22 |
| 1699222836 | Alicia J Harlow | Psychologist | 5 Pine West Plz, Suite 511, Albany, NY 12205-5593 | 2016-09-06 |
| 1891249819 | Erik Gunnar Hageman | Dentist | 5 Pine West Plz, Albany, NY 12205-5593 | 2016-08-08 |
| 1184018475 | Gabrielli Gorospe Md Pllc | Clinic/Center | 5 Pine West Plz, Suite 512, Albany, NY 12205-5593 | 2015-03-24 |
| 1912309741 | Sarah Elizabeth Nolan | Psychologist | 5 Pine West Plz, Suite 511, Albany, NY 12205-5587 | 2014-09-24 |
| 1831464718 | Daniel Melvin Huber | Psychologist | 5 Pine West Plz, Ste 511, Albany, NY 12205-5587 | 2012-03-12 |
| 1194020826 | Michael Joseph Fischer | Dentist | 5 Pine West Plz, Suite 504, Albany, NY 12205-5587 | 2011-01-11 |
| 1780987685 | Max Gabriel Reinhorn | Dentist | 5 Pine West Plz, Washington Ave Extension, Albany, NY 12205-5587 | 2010-12-15 |
| 1669799730 | Maria Sunukjian | Social Worker | 5 Pine West Plz, 508, Albany, NY 12205-5593 | 2010-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564053 | Capital Regional Rx LLC | Pharmacy | 431 New Karner Road Bldg#4 Suite 180, Albany, NY 12205 | 2020-10-07 |
| 1548722549 | The Alternative Living Group, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 500 New Karner Road, Suite 3, Albany, NY 12205 | 2019-04-01 |
| 1003398439 | Sarah Itwaru | Social Worker | 401 New Karner Road, Albany, NY 12205 | 2018-09-01 |
| 1740708106 | Kenneth Cook | Physician Assistant | 121everett Rd, Albany, NY 12205 | 2017-09-06 |
| 1437691839 | Sarah Avery | Physical Therapist | 5 S Family Dr, Colonie, NY 12205 | 2016-11-16 |
| 1063892776 | Olsen Medical Sales, LLC | Durable Medical Equipment & Medical Supplies | 98 Everett Rd, Albany, NY 12205 | 2015-06-08 |
| 1972921484 | Alixandra Joy Foisy | Social Worker | 42 Oakwood Dr, Albany, NY 12205 | 2014-04-01 |
| 1780015206 | The Promptcare Companies | Durable Medical Equipment & Medical Supplies | 1015c Central Avenue, Albany, NY 12205 | 2013-12-09 |
| 1396088332 | Early Childhood Education Center | Day Training, Developmentally Disabled Services | 251 Washington Ave Extension, Albany, NY 12205 | 2013-03-28 |
| 1487906707 | Centerfordisabiltyservices | Preferred Provider Organization | 5 Keller Street, Albany, NY 12205 | 2012-10-10 |
| Find all providers in zip 12205 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114428141 | Johnae Patrice Galloway | Specialist | 600 New Scotland Ave, Albany, NY 12208-1928 | 2018-02-25 |
| 1205373917 | Nicarro Henderson | Specialist | 2005 E Dawson Rd, Albany, GA 31707 | 2017-01-20 |
| 1457703217 | Rebecca Burke | Specialist | 113 Krumkill Rd, Albany, NY 12208-1249 | 2016-07-05 |
| 1639535933 | Emily Soule | Specialist | 687 Myrtle Ave, Apt 1, Albany, NY 12208-3711 | 2016-01-04 |
| 1891163903 | Anca Rabinowitz | Specialist | 22a Old Hickory Dr, Apt.2a, Albany, NY 12204-1137 | 2015-09-04 |
| 1609242197 | Jaclyn Whitman | Specialist | 230 Washington Ave Extention, Albany, NY 12203 | 2015-08-19 |
| 1548651706 | Katrina Reittinger | Specialist | 50 Phillip St, Albany, NY 12207 | 2015-02-10 |
| 1700226792 | Jeffrey Sansobrino | Specialist | 1 Rapp Rd # 1, Albany, NY 12203-4491 | 2013-07-05 |
| 1306186739 | Kate Ireland Panza | Specialist | 29 Krug Ct, Albany, NY 12211-1914 | 2013-02-21 |
| 1992045470 | Maryjo Aidala | Specialist | 1658 Central Ave, Albany, NY 12205-4029 | 2013-02-21 |
| Find all providers in ALBANY | ||||
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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.