Landis Walsh
Student in an Organized Health Care Education/Training Program in Winchester, MA. Individual provider (NPI-1).
NPI number1831839554
StatusActive
Last updated in NPPESMar 30, 2022
Details
- NPI
- 1831839554
- Entity type
- Individual (NPI-1)
- Name
- Landis Walsh
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 30, 2022
- Certification date
- Mar 30, 2022
- Last updated
- Mar 30, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
12 Wedgemere AveWinchester, MA 01890-3512
Phone 781-879-0033
Mailing address
12 Wedgemere AveWinchester, MA 01890-3512
Phone 781-879-0033
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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