Organization
PIQUA FAMILY PRACTICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT CHARLES LANDES MD PA (OFFICER)
(937) 773-8221
Entity
Organization
Contact information
Practice address
9159 N COUNTY RD 25A, PIQUA, OH 45356
(937) 773-8221
(937) 773-5117
Mailing address
9159 N COUNTY RD 25A, PIQUA, OH 45356
(937) 773-8221
(937) 773-5117
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35046324
OH
207R00000X
Internal Medicine Physician
35087354
OH
363L00000X
Nurse Practitioner
NP07368
OH
363L00000X
Nurse Practitioner
Primary
RN305368
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000015687
ANTHEM LANDES
—
05
—
0766989
—
OH
05
—
0876146
—
OH
01
—
27752595700
WORKERS COMP LANDES
—
01
—
319804D8200
WORKERS COMP JORDAN
—
01
—
35046324
LICENSE LANDES
—
01
—
85087354
LICENSE JORDAN
—
01
—
E60186
UPIN LANDES
—
01
—
NP07368
LICENSE MCKEOWN
—
Enumeration date
08/04/2006
Last updated
09/11/2025
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