Individual
TROY A LANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
201 MAIN, MARSING, ID 83639
(208) 896-4159
(208) 896-4917
Mailing address
211 16TH AVE N, PO BOX 9, NAMPA, ID 83687-4058
(208) 461-7149
(208) 467-3391
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA050718
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1007307260034
MEDICARE GROUP #
PA
01
—
120420414
DEPT OF LABOR
PA
01
—
25-1716306
INTERGROUP
PA
01
—
498815
HEALTH AMERICA
PA
01
—
50064072
CAPITAL BLUECROSS
PA
01
—
MA050718
LICENSE
PA
Enumeration date
03/01/2006
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us