Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jerone Theodore Landstrom, MD

Individual provider Surgery Physician · NPI 1255407953

Jerone Theodore Landstrom, MD is a Hand Surgery in Tamuning, Guam. Graduated from Wayne State University School of Medicine in 1981, 45 years ago. Accepts Medicare assignment. Licensed in Guam, Hawaii and Texas.

Years since qualifying
45
Trained at
Wayne State University School of Medicine
Licensed in
GU, HI, TX
In the registry since
2006
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

633 Gov Carlos Camacho Rd Ste 104 Guam Medical Plaza
Tamuning, GU 96913
Phone: (671) 646-4263
Fax: (671) 649-1019

No coordinates on file. Search this address in Google Maps

Specialties & licences

Surgery of the Hand (Surgery) Physician (primary) Taxonomy 2086S0105X · Licence M00958 (GU)
Surgery Physician Taxonomy 208600000X · Licence M-958 (GU)
Surgery of the Hand (Surgery) Physician Taxonomy 2086S0105X · Licence J9150 (TX)
Surgery of the Hand (Surgery) Physician Taxonomy 2086S0105X · Licence MD9588 (HI)

Record details

NPI number1255407953
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 27, 2006
Last updated in NPPESApril 27, 2020
Certification dateApril 27, 2020
Mailing address633 Gov Carlos G Camacho Rd Ste 212, Tamuning, GU 96913-3195

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHAND SURGERY
Also practisesGENERAL SURGERY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1981 (45 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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