Provider Demographics
NPI:1346272556
Name:LANDIS, ROBERT CHESTER (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:CHESTER
Last Name:LANDIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-812-4240
Mailing Address - Fax:717-848-5520
Practice Address - Street 1:2050 S QUEEN ST
Practice Address - Street 2:STE 100
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-4829
Practice Address - Country:US
Practice Address - Phone:717-812-4240
Practice Address - Fax:717-848-5520
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2014-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD008770E208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA233275OtherMAMSI-WMG
PA42959OtherGEISINGER
PA80967OtherUNISON-WMG
PA018165OtherHIGHMARK BLUE SHIELD
PA20010050OtherAH MERCY-WMG CARLISLE RD
PA03124001OtherCAPITAL BLUE CROSS-WMG
PA000603936Medicaid
PAP002871OtherGATEWAY-WMG
PA1142401OtherAH MERCY-WMG QUEEN ST
PA4277196OtherAETNA
PA48700OtherJOHNS HOPKINS
PA48700OtherJOHNS HOPKINS
C27416Medicare UPIN
PAP002871OtherGATEWAY-WMG