MR. MARK J LANDRY (NPI# 1679518823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679518823 |
Entity Type | Individual |
Full Name | MR. MARK J LANDRY |
Credential | NP |
Practice Address |
314 Youngsville Hwy Lafayette LA 70508-4524 |
Mailing Address |
2851 Johnston St Lafayette LA 70503-3243 |
Practice Telephone | 3374564845 |
Mailing Telephone | 3374563519 |
Mailing Fax Number | 3375344426 |
Enumeration Date | 2006-06-19 |
Last Update Date | 2019-06-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207P00000X | Emergency Medicine | RN095042 | LA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 1467430 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
2912 Johnston St, Lafayette, LA 705033246 | 3374563519 | |
3619 Ambassador Caffery Pkwy Bldg E, Lafayette, LA 705035132 | 3375344410 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205277837 | Mark Christopher Landry | Pharmacist | 6548 Memphis St, New Orleans, LA 70124-3236 | 2013-07-11 |
1215566104 | Mark Landry | Student in an Organized Health Care Education/Training Program | 1501 Kings Highway, Otolaryngology, Shreveport, LA 71130-3932 | 2020-04-03 |
1164639191 | Mark Landry | Marriage & Family Therapist | 21 Hyde Park Rd, Stafford Springs, CT 06076-1507 | 2007-05-17 |
1255328654 | Mark E Landry | Podiatrist | 10550 Quivira Rd, Suite 260, Overland Park, KS 66215-2375 | 2005-09-30 |
Street Address |
314 YOUNGSVILLE HWY |
City | LAFAYETTE |
State | LA |
Zip Code | 70508-4524 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275513798 | Southpark Community Hospital | Oral & Maxillofacial Surgery | 314 Youngsville Hwy, Lafayette, LA 70508-4524 | 2006-01-19 |
1013477322 | Minute Med - Omc LLC | Family Medicine | 314 Youngsville Hwy, Lafayette, LA 70508-4524 | 2019-03-22 |
1710315478 | Total Renal Care Inc | Clinic/Center | 314 Youngsville Hwy, Suite 125, Lafayette, LA 70508-4524 | 2013-10-16 |
1093970915 | Southpark Acquisition Company LLC | Clinic/Center | 314 Youngsville Hwy, Lafayette, LA 70508-4524 | 2008-07-21 |
1205015955 | Southpark Acquisition Company LLC | General Acute Care Hospital | 314 Youngsville Hwy, Lafayette, LA 70508-4524 | 2007-10-30 |
1013102078 | Stephen Kyle Chauvin | Nurse Anesthetist, Certified Registered | 314 Youngsville Hwy, Lafayette, LA 70508-4524 | 2007-09-12 |
1831129592 | Curtis L Sanford II | Nurse Anesthetist, Certified Registered | 314 Youngsville Hwy, Lafayette, LA 70508-4524 | 2006-07-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346868676 | Cypress Bend Oral & Maxillofacial Surgery | Dentist | 106 Rue Bastille, Lafayette, LA 70508 | 2020-07-13 |
1184250607 | Learning Grove Therapy LLC | Clinic/Center | 105 Anaheim Lane, Lafayette, LA 70508 | 2020-03-16 |
1780218727 | Jennifer Trumps | Case Manager/Care Coordinator | 200 Entergy Parkway, Lafayette, LA 70508 | 2020-02-28 |
1740749605 | Hunter Sy Arceneaux | Physical Therapist | 1700 Kaliste Saloom Road, Building 3, Suite 300, Lafayette, LA 70508 | 2019-03-19 |
1295292787 | Brad Michael Gros | Counselor | 160 South Beadle Road, Lafayette, LA 70508 | 2019-02-21 |
1205337581 | Alternative Perspectives, LLC | Clinic/Center | 2807 Kaliste Saloom Rd Ste B, Lafayette, LA 70508 | 2018-02-22 |
1124528807 | Zachariah James Hebert | Counselor | 1602 W Pinhook Rd Suite 100a, The Family Tree, Lafayette, LA 70508 | 2018-02-19 |
1164934477 | Ilyas Munshi, Md Apmc | Non-Pharmacy Dispensing Site | 99 W. Martial Ave, Lafayette, LA 70508 | 2017-10-26 |
1447761226 | Louisiana Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 4231 Ambassador Caffery Pkwy, Suite 102, Lafayette, LA 70508 | 2017-10-19 |
1306365457 | Mk Dixon Counseling and Consulting | Counselor | 105 Industrial Parkway, Lafayette, LA 70508 | 2017-09-10 |
Find all providers in zip 70508 |
Taxonomy Code | 207P00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760913891 | Nathan Francis Marcinkowski | Emergency Medicine | 216 N 4th St Ste 205, Lafayette, IN 47901-1323 | 2017-03-21 |
1134549322 | Marc Fernandez | Emergency Medicine | 121 Rue Louis Xiv Bldg 5, Lafayette, LA 70508-5786 | 2014-04-26 |
1710328653 | Medexpress Urgent Care, PC - Indiana | Emergency Medicine | 102 Sagamore Pkwy S, Lafayette, IN 47905-4745 | 2013-07-08 |
1467751354 | Devan Guidry Szczepanski | Emergency Medicine | 619 Saint Catherine St, Lafayette, LA 70506-4328 | 2011-03-18 |
1730359977 | Tonya Boudreaux | Emergency Medicine | 4600 Ambassador Caffery- Emergency Dept., Lafayette, LA 70508 | 2008-03-04 |
1063692481 | Braden Conrad Despot | Emergency Medicine | 200 Travis St Ste 201, Lafayette, LA 70503-2447 | 2007-11-14 |
1699970830 | Charles P Gillespie | Emergency Medicine | 2849 Crater Lake Ln, Lafayette, CO 80026-3488 | 2007-06-18 |
1730239542 | Charles T. Clemons | Emergency Medicine | 926 Raintree Pl, Lafayette, CA 94549-4816 | 2007-01-12 |
1811076995 | Brad Alan Boudreaux | Emergency Medicine | 3619 Ambassador Caffery Pkwy, Bldg E, Lafayette, LA 70503-5132 | 2006-11-02 |
1528158060 | Joseph C Ryan | Emergency Medicine | 607 Greenbriar Rd, Lafayette, LA 70503-0000 | 2006-10-13 |
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.