DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MICAIAH LANDRUM

Active Sole Proprietor

MR. MICAIAH LANDRUM is a Physician Assistant healthcare provider located in FREDERICKSBURG, Virginia. NPI 1336967736 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · FREDERICKSBURG, VA

Registration Details

NPI Number
1336967736
Provider Type
Individual
Gender
Male
NPI Issued
Oct 3, 2024 (1.8554088767101 yrs)
Last Updated
May 16, 2025
License
0110010722 (VA)
Sole Proprietor
Yes

Practice Information

Address
1101 SAM PERRY BLVD STE 400
FREDERICKSBURG, VA, 224014466
Browse VA providers · Browse ZIP 22401
Phone
5407412871
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in FREDERICKSBURG, VA

Name Credential NPI
MR. STEPHEN MICHAEL WOOF PA-C ATC 1396739835
MEREDITH GRAY CHAPPELL PA-C 1063407161
MR. MICHAEL ANTHONY DISIMONE MPH, MPAS, PA-C 1104801497
MR. ROBERT ARTHUR GLASGOW IV PA-C 1154301364
JOHN AARON KIRK PA-C 1114991916
MONICA SPELLMAN PA 1568493955
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.