Derek Todd Landis is a Pediatrics in Ardmore, Oklahoma. Derek Todd Landis practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Derek Todd Landis is 1487854642. The last update date is 2014-05-20.
Derek Todd Landis's current location address is 921 14th Ave Nw, Ardmore, Oklahoma. You can contact this provider via phone number 5802235311 and fax number 5802238227. The mailing address for Derek Todd Landis is 921 14th Ave Nw, Ardmore, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Derek Todd Landis |
|---|---|
| Address | 921 14th Ave Nw, Ardmore, Oklahoma |
| Phone Number | 5802235311 |
| Fax Number | 5802238227 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1487854642 |
|---|---|
| Provider Enumeration Date | 2007-07-24 |
| Last Updated Date | 2014-05-20 |
Provider Mailing Address Detail
| Address | 921 14th Ave Nw |
|---|---|
| City | Ardmore |
| State | Oklahoma (OK) |
| Post Code | 734011837 |
| Phone Number | 5802235311 |
| Fax Number | 5802238227 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 25666 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 25666 | OK | OKLAHOMA MEDICAL LICENSE | |
| 36032 | OK | OBNDD LICENSE |
Post Comment/ Review Below
What is the Derek Todd Landis's 1487854642?
The Derek Todd Landis's NPI (National Provider Identifier) Number is 1487854642. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Derek Todd Landis is located?
The Derek Todd Landis is situated at the following address: 921 14Th Ave Nw, Ardmore, OK, 734011837.
What is Derek Todd Landis's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Derek Todd Landis's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 208000000X.
When was the Derek Todd Landis's 1487854642 issued?
The Derek Todd Landis's 1487854642 was issued on 2007-07-24.
As of what date were the details related to Derek Todd Landis most recently updated or revised?
The information pertaining to Derek Todd Landis, including its address, specialty, and other relevant details, was last updated or revised on 2014-05-20.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN