Clint Lee Vanlandingham (NPI# 1508838566, PAC ID# 7719961937) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1508838566 |
| PAC ID by PECOS | 7719961937 |
| Professional Enrollment ID | I20040615001819 |
| Full Name | Clint Lee Vanlandingham |
| Address |
2600 Kanell Blvd Poplar Bluff MO 63901-3001 |
| Phone Number | 5737854546 |
| Gender | M |
| Credential | DPM |
| Medical School | BARRY UNIVERSITY SCHOOL PODIATRIC MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | PODIATRY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260119 | POPLAR BLUFF REGIONAL MEDICAL CENTER |
| 260227 | BLACK RIVER COMMUNITY MEDICAL CENTER |
| 260160 | SOUTHEASTHEALTH CENTER OF STODDARD COUNTY |
| 260183 | SAINT FRANCIS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2600 Kanell Blvd, Poplar Bluff, MO 63901-3001 | 5737854546 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_047_overall | Care Plan | 100% | |
| MIPS_EC_126_overall | Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation | 100% | |
| MIPS_EC_127_overall | Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear | 100% |
| Street Address |
2600 KANELL BLVD |
| City | POPLAR BLUFF |
| State | MO |
| Zip | 63901-3001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donald R Jones Iii | Obstetrics/gynecology | 2600 Kanell Blvd, Suite 1, Poplar Bluff, MO 63901-3001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alicia Marie Cisne | Nurse Practitioner | Poplar Bluff Emergency Physicians, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Savannah Coin | Nurse Practitioner | Poplar Bluff Emergency Physicians, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Hanumanth K Reddy | Cardiovascular Disease (cardiology) | Poplar Bluff Hma Physician Management, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Alexandros Georgolios | Otolaryngology | Poplar Bluff Hma Physician Management, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Michael J. Del Rio | Thoracic Surgery | Poplar Bluff Hma Physician Management, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Perry Arthur Rathbun | Certified Registered Nurse Anesthetist (crna) | Clinical Colleagues Inc | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Silvia Pagoada Vallecillo | General Surgery | Butler Physician Services, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Mark W Clark | Certified Registered Nurse Anesthetist (crna) | Poplar Bluff Hma Physician Management, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| James D Holden | Certified Registered Nurse Anesthetist (crna) | Clinical Colleagues Inc | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Timothy P Kordick | Certified Registered Nurse Anesthetist (crna) | Clinical Colleagues Inc | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Find all physicians in zip 63901 | |||
| City | POPLAR BLUFF |
| Zip Code | 63901 |
| Specialty | PODIATRY |
| City + Specialty | POPLAR BLUFF + PODIATRY |
Please comment or provide details below to improve the information on Clint Lee Vanlandingham.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.