Ryan M Landis, MD | |
410 N State Of Franklin Rd Ste 130, Johnson City, TN 37604-6972 | |
(423) 431-2477 | |
(423) 431-2478 |
Full Name | Ryan M Landis |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 11 Years |
Location | 410 N State Of Franklin Rd Ste 130, Johnson City, Tennessee |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144665845 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 60114 (Connecticut) | Secondary |
2086S0102X | Surgery - Surgical Critical Care | 61132 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Johnson City Medical Center | Johnson city, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Blue Ridge Medical Management Corporation | 9739099441 | 280 |
Entity Name | Blue Ridge Medical Management Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144380833 PECOS PAC ID: 9739099441 Enrollment ID: O20031204000996 |
Mailing Address | Practice Location Address |
---|---|
Ryan M Landis, MD 509 Med Tech Pkwy Ste 100, Johnson City, TN 37604-2579 Ph: (423) 952-2111 | Ryan M Landis, MD 410 N State Of Franklin Rd Ste 130, Johnson City, TN 37604-6972 Ph: (423) 431-2477 |
Dr. Melissa A Powell, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 410 N State Of Franklin Rd, Suite 130, Johnson City, TN 37604 Phone: 423-431-2477 Fax: 423-431-2478 | |
Dr. David Northern Walters, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: James H. Quillen/vamc, Corner Of Sidney And Lamont, Johnson City, TN 37684 Phone: 423-926-1171 Fax: 423-979-3477 | |
Dr. Rebecca Erion Odom, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 2333 Knob Creek Rd Ste 16, Johnson City, TN 37604 Phone: 423-975-0764 Fax: 423-975-0141 | |
Michael J Allshouse, DO Surgery Medicare: Medicare Enrolled Practice Location: 325 N State Of Franklin Rd Fl 3, Johnson City, TN 37604 Phone: 423-439-7201 Fax: 423-439-7219 | |
Isaac William Browder, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 325 N State Of Franklin Rd, 3rd Floor, Johnson City, TN 37604 Phone: 423-439-7201 Fax: 423-439-7219 | |
Tony O. Haley, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3 Professional Park Dr Ste 31, Johnson City, TN 37604 Phone: 423-975-5650 Fax: 423-975-5652 |