DR. JACOB EDWARD LANDRY (NPI# 1235495813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235495813 |
| Entity Type | Individual |
| Full Name | DR. JACOB EDWARD LANDRY |
| Credential | M.D. |
| Practice Address |
457 Heymann Blvd Lafayette LA 70503-2616 |
| Mailing Address |
457 Heymann Blvd Lafayette LA 70503 |
| Practice Telephone | 3372375774 |
| Mailing Telephone | 3372375774 |
| Enumeration Date | 2012-04-08 |
| Last Update Date | 2017-07-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 304802 | LA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679049522 | Jacob Paul Landry | Physician Assistant | 18108 S Parkview Dr Apt I17, Houston, TX 77084-6578 | 2018-10-18 |
| Street Address |
457 HEYMANN BLVD |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70503-2616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962449769 | Albert R Corne Jr Md | Specialist | 457 Heymann Blvd, Lafayette, LA 70503-2616 | 2006-06-01 |
| 1063737690 | Jason A. Breaux, M.d., A.p.m.c. | Surgery | 457 Heymann Blvd, Lafayette, LA 70503-2616 | 2010-04-07 |
| 1619167517 | Jason A Breaux | Surgery | 457 Heymann Blvd, Lafayette, LA 70503-2616 | 2007-07-26 |
| 1336183417 | Albert R Corne Jr. | Specialist | 457 Heymann Blvd, Lafayette, LA 70503-2616 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962024620 | The Carpenter Center for Palliative Medicine of Lafayette, LLC | General Acute Care Hospital | 923 West Pinhook Road, Lafayette, LA 70503 | 2020-05-15 |
| 1326679143 | Elisabeth Robertson | Speech-Language Pathologist | 227b Bendel Rd., Ste. C, Lafayette, LA 70503 | 2020-01-30 |
| 1497391973 | Solvet Services LLC | Durable Medical Equipment & Medical Supplies | 345 Doucet Rd., Suite 212, Lafayette, LA 70503 | 2019-11-20 |
| 1023654712 | Louisiana Cardiac Vascular and Pulmonary Rehab LLC | Registered Nurse | 2701 Johnston Street, Ste 100, Lafayette, LA 70503 | 2019-11-18 |
| 1972147346 | Ryan Christopher Winters | Counselor | 143 Ridgeway Dr., Lafayette, LA 70503 | 2019-10-29 |
| 1861046112 | Lafayette General Medical Center Inc | General Acute Care Hospital | 1213 Coolidge Street, Lafayette, LA 70503 | 2019-07-25 |
| 1770041295 | Karen R Rue | Registered Nurse | 1001 W. Pinhook Rd, Bldg #3, Ste. 212, Lafayette, La, LA 70503 | 2019-03-04 |
| 1235601766 | Frances Chauvin, Dds, LLC | Dentist | 229 Bendel Rd., Lafayette, LA 70503 | 2018-12-21 |
| 1710456116 | Affordable Caregivers, Inc. | In Home Supportive Care | 515 South College Rd., Suite 125, Lafeyette, LA 70503 | 2018-11-15 |
| 1366911778 | Taylor Callais-rusich | Counselor | 142 Ridgeway Dr., 201, Lafayette, LA 70503 | 2018-11-14 |
| Find all providers in zip 70503 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477922904 | Lafayette Health Ventures, Inc. | Surgery | 121 Audubon Blvd, Lafayette, LA 70503-2606 | 2015-09-15 |
| 1164805719 | Lafayette Health Ventures, Inc. | Surgery | 900 E Saint Mary Blvd, Suite 106, Lafayette, LA 70503-2377 | 2015-07-01 |
| 1043595804 | Surgical Hospital Management System LLC | Surgery | 1000 Pinhook Road, Suite 310, Lafayette, LA 70503-2460 | 2011-10-12 |
| 1275812976 | Flatirons Surgical Specialists, Pllc | Surgery | 2668 N Park Dr, Ste 110, Lafayette, CO 80026-3199 | 2011-08-11 |
| 1194017889 | Ethel Stackhouse Smith | Surgery | 125 Karolwood Dr, Lafayette, LA 70503 | 2011-05-12 |
| 1306137666 | Imtiaz R Khan | Surgery | 5000 Ambassador Caffery Pkwy Ste A, Lafayette, LA 70508-6984 | 2011-04-21 |
| 1386963148 | Leopold Richard, Jr. | Surgery | 406 Oakleaf Dr, Lafayette, LA 70503-3491 | 2010-05-19 |
| 1275760019 | Gary Joseph Arnold | Surgery | 302 Mill Valley Run, Lafayette, LA 70508 | 2009-06-19 |
| 1962681551 | Dennis Joseph Eschete Jr. | Surgery | 1000 W Pinhook Road, Ste 204, Lafayette, LA 70503-2460 | 2007-10-31 |
| 1902999485 | Joseph Peter Lupo | Surgery | 900 E Saint Mary Blvd Ste 104, Lafayette, LA 70503-2378 | 2006-10-02 |
| Find all providers in LAFAYETTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.