Individual provider · NPI-1
Landon Shea, DO
Hospitalist · Farmington, MO
NPI number1699343855
StatusActive
Last updated in NPPESSep 17, 2025
Details
- NPI
- 1699343855
- Entity type
- Individual (NPI-1)
- Name
- Landon Shea
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 15, 2021
- Certification date
- Sep 17, 2025
- Last updated
- Sep 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | 2025011759 | MO | Yes |
| 207P00000X | Emergency Medicine | 81475 | WI | |
| 207Q00000X | Family Medicine | 81475 | WI |
Practice location
1101 W Liberty StFarmington, MO 63640-1921
Phone 573-705-1272
Mailing address
4526 E. Picadilly Dr.Janesville, WI 53546
Phone 608-295-9506
Other practice locations
515 22nd Ave
Monroe, WI 53566-1569
Monroe, WI 53566-1569
Phone 608-324-1000
4526 E. Picadilly Dr.
Janesville, WI 53546-9600
Janesville, WI 53546-9600
Phone 608-295-9506
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