MR. MARK J LANDRY


Address: 314 Youngsville Hwy, Lafayette, LA 70508-4524
Phone: 3374564845

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine RN095042 LA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
LA 1467430 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
2912 Johnston St, Lafayette, LA 705033246 3374563519
3619 Ambassador Caffery Pkwy Bldg E, Lafayette, LA 705035132 3375344410

Other Providers MARK LANDRY

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

Office Location

Street Address 314 YOUNGSVILLE HWY
City LAFAYETTE
State LA
Zip Code 70508-4524

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City LAFAYETTE
Zip Code 70508

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Dataset Information

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.

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