Mark E Landry in Overland Park - Foot & Ankle Surgery
Mark E Landry - NPI 1255328654
Mark E Landry is a Foot & Ankle Surgery in Overland Park, Kansas. Mark E Landry practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Mark E Landry is 1255328654. The last update date is 2017-04-17.
Mark E Landry's current location address is 10550 Quivira Rd, Overland Park, Kansas. You can contact this provider via phone number 9134389898 and fax number 9134389899. The mailing address for Mark E Landry is 10550 Quivira Rd, Overland Park, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark E Landry |
|---|---|
| Address | 10550 Quivira Rd, Overland Park, Kansas |
| Phone Number | 9134389898 |
| Fax Number | 9134389899 |
| Sole Proprietor | Y |
| Credentials | D.P.M. |
NPI Number Detail
| NPI Number | 1255328654 |
|---|---|
| Provider Enumeration Date | 2005-09-30 |
| Last Updated Date | 2017-04-17 |
Provider Mailing Address Detail
| Address | 10550 Quivira Rd |
|---|---|
| City | Overland Park |
| State | Kansas (KS) |
| Post Code | 662152375 |
| Phone Number | 9134389898 |
| Fax Number | 9134389899 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | 12-00167 |
|
Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6651156 | BC | ||
| 15070 | BC KS | ||
| 480018248 | RR MCR |
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What is the unique 10-digit identifier code assigned to Mark E Landry by the Centers for Medicare & Medicaid Services?
The Mark E Landry has been issued the NPI (National Provider Identifier) 1255328654 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Mark E Landry?
The Mark E Landry is situated at 10550 Quivira Rd, in the city of Overland Park, state of KS, with the zip code 662152375.
What is the Mark E Landry's specialty and taxonomy code?
The Mark E Landry's specialty is Foot & Ankle Surgery, and the corresponding taxonomy code is 213Es0103X.
On what date did the Centers for Medicare & Medicaid Services assign the 1255328654 to Mark E Landry?
The Centers for Medicare & Medicaid Services assigned the 1255328654 to Mark E Landry on 2005-09-30.
As of what date were the Mark E Landry's details last updated?
The information pertaining to the Mark E Landry, including its address, specialty, and other details, was most recently updated on 2017-04-17.
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