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

Mackenzie Landin, MD

Individual provider Surgery Physician · NPI 1740695337

Mackenzie Landin, MD is a General Surgery in Phoenix, Arizona. Graduated from Medical College of Wisconsin in 2014, 12 years ago. Practices with Banner - University Physician Specialists LLC, a 347-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona, Illinois and North Carolina.

Years since qualifying
12
Trained at
Medical College of Wisconsin
Licensed in
AZ, IL, NC
In the registry since
2014
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1441 N 12th St Fl 2
Phoenix, AZ 85006-2837
Phone: (602) 521-3050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 2019-01762 (NC)
Surgery Physician Taxonomy 208600000X · Licence 125064599 (IL)
Surgery Physician Taxonomy 208600000X · Licence 61110 (AZ)

Record details

NPI number1740695337
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 23, 2014
Last updated in NPPESJune 3, 2020
Certification dateJune 3, 2020
Mailing address1441 N 12th St Fl 2, Phoenix, AZ 85006-2837

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2014 (12 years in practice)
Group practice Banner - University Physician Specialists Llc — 347 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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