Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Derek Landes, PA-C

Individual provider Physician Assistant · NPI 1154721447

Mr. Derek Landes, PA-C is a Physician Assistant in Columbus, Ohio. Qualified in 2014, 12 years ago. Practices with P.r. Care, Ltd, an 8-clinician group and works from 2 locations. Licensed in Ohio.

Years since qualifying
12
Licensed in
OH
In the registry since
2014
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

750 Mount Carmel Mall Ste 300
Columbus, OH 43222-1553
Phone: (614) 224-6420
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1510 Columbus Ave Ste 230, Washington Court House, OH 43160-1987 — (740) 333-3333

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.004164 (OH)

Record details

NPI number1154721447
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedAugust 25, 2014
Last updated in NPPESMay 26, 2021
Certification dateMay 26, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice P.R. Care, Ltd — 8 clinicians
Accepts Medicare assignment Not indicated

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