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WEST VIRGINIA
NPI 1194440669
General Practice in Elkins, WV

Active since October 07, 2022
103 RANDOLPH AVE # 193, ELKINS, WV 26241(657) 400-5180 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About West Virginia NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WEST VIRGINIA (NPI 1194440669) is a healthcare organization registered as a general practice in Elkins, West Virginia and active in the NPI registry since October 2022. The organization lists Christopher Dennis, Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1194440669
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameLANDMARK MEDICAL OF TENNESSEE PC
Location Address103 RANDOLPH AVE # 193Elkins, WV 26241-4067
Mailing Address7755 Center Ave Ste 630Huntington Beach, CA 92647-9152
Phone(657) 400-5180
Organization SubpartNo
Authorized OfficialChristopher DennisChief Medical Officer · (657) 400-5180
Enumeration DateOctober 7, 2022
Last NPPES UpdateJanuary 30, 2024
NPPES CertifiedJanuary 30, 2024
✔ NPI 1194440669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
103 RANDOLPH AVE # 193, Elkins, WV 26241
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Other Names 1

Other NameWest Virginia

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Landmark Medical Of Tennessee PC's NPI number?

The NPI number for Landmark Medical Of Tennessee PC is 1194440669. It was assigned to this organization in the NPPES registry on October 7, 2022. The provider is also known as West Virginia.

Where is Landmark Medical Of Tennessee PC located?

Landmark Medical Of Tennessee PC is located at 103 Randolph Ave # 193, Elkins, WV 26241. The listed phone number is (657) 400-5180.

What is Landmark Medical Of Tennessee PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Landmark Medical Of Tennessee PC was last updated on January 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.