Derek Todd Landis
MD | Pediatrics | Male
Derek Todd Landis, MD is a Ardmore, Oklahoma based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Derek Todd Landis is
921 14th Ave Nw, Ardmore, Oklahoma - 73401-1837. He can be contacted on phone at
580-223-5311 and fax number 580-223-8227.
Derek Todd Landis is a sole proprietor of his business.
NPI number (Unique professional ID) for Derek Todd Landis is
1487854642 which was assigned by NPPES on 24 Jul, 2007 and it was last updated on 20 May, 2014.
Derek Todd Landis license number is
25666 for Pediatrics (208000000X) in Oklahoma.
Derek Todd Landis is a pediatrician who 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 chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Derek Todd Landis basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Derek Todd Landis |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Derek Todd Landis address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 921 14th Ave Nw
Ardmore, OK, 73401-1837
United States |
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| Phone Number : | 580-223-5311 |
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| Fax Number : | 580-223-8227 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1487854642 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 24 Jul, 2007 |
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| Last Updated On : | 20 May, 2014 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Derek Todd Landis are as mentioned. Primary taxonomy code for Derek Todd Landis, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 25666 | OK |
Legacy Identifiers:
Other legacy medical identifiers of Derek Todd Landis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 36032 | Other | OK | OBNDD LICENSE |
| 25666 | Other | OK | OKLAHOMA MEDICAL LICENSE |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 4401 W Memorial Rd, Suite 140
Oklahoma City, OK, 73134-1785
United States |
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| Phone Number : | 405-752-3162 |
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| Fax Number : | 405-936-5211 |
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Business Location:
Patients can refer following map for directions to
Derek Todd Landis practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.