DR. PAUL R. LANDRY (NPI# 1902897523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902897523 |
Entity Type | Individual |
Full Name | DR. PAUL R. LANDRY |
Credential | M.D. |
Practice Address |
2911 Riverview Blvd Bradenton FL 34205-3418 |
Practice Telephone | 9417202749 |
Mailing Telephone | 9417202749 |
Enumeration Date | 2005-11-02 |
Last Update Date | 2015-01-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
ME17158 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 038832700 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730797580 | Paul Taylor Landry | Optometrist | 3007 Peekskill Ct, Pearland, TX 77584-4950 | 2020-07-17 |
1124032891 | Paul R Landry | Social Worker | 4000 E Charleston Blvd, Suite 230, Las Vegas, NV 89104-6659 | 2006-07-28 |
1477599892 | Paul B Landry IIi | Physician Assistant | 310 N State of Franklin Rd, Suite 101, Johnson City, TN 37604-6008 | 2006-06-22 |
Street Address |
2911 RIVERVIEW BLVD |
City | BRADENTON |
State | FL |
Zip Code | 34205-3418 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649811506 | Fenix Drug Store, LLC | Pharmacy | 527 13th St W, Bradenton, FL 34205 | 2019-10-02 |
1326534702 | Elaine Benitez Vazquez | Developmental Therapist | 3800 Lake Bayshore Dr Apt 513, Bradenton, FL 34205 | 2018-07-09 |
1437519402 | Kenneth G Bannister | Massage Therapist | 302 26th Avenue East, Apt 101, Bradenton, FL 34205 | 2016-03-03 |
1780028415 | Nic 4 Summerfield Leasing LLC | Assisted Living Facility | 3409 26th St. W., Bradenton, FL 34205 | 2013-04-24 |
1275803017 | Jennifer Geanne Washington | Massage Therapist | 1901 9th Ave W, Bradenton, FL 34205 | 2012-01-11 |
1629352745 | Susan K Stone | Acupuncturist | 2620 Manatee Avenue W., Suite C, Bradenton, FL 34205 | 2011-10-07 |
1588957609 | Palma Sola Therapies LLC | Physical Medicine & Rehabilitation | 515 36th St., Suite D, Bradenton, FL 34205 | 2011-05-23 |
1023254836 | Halle Kranz | Counselor | 239 301 Blvd W, Bradenton, FL 34205 | 2008-12-29 |
1235389537 | Aisha Mohsin Malik | Psychiatry & Neurology | 200 3rd Avenue West, Suite 110, Bradenton, FL 34205 | 2008-09-23 |
1689895146 | Brenda Marie Wilson | Counselor | Manatee Service Center, 600 301 Blvd - Suite 144, Bradenton, FL 34205 | 2007-05-01 |
Find all providers in zip 34205 |
Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922286822 | Florida Medical Specialists LLC | Internal Medicine | 4351 Cortez Rd W Ste 100, Bradenton, FL 34210-3215 | 2008-02-04 |
1912994971 | Nandagopal S Vrindavanam | Internal Medicine | 6555 Cortez Rd W, Bradenton, FL 34210-2608 | 2005-10-04 |
1609879022 | Yallappa Nadiminti | Internal Medicine | 401 Manatee Ave E, Suite B, Bradenton, FL 34208-1143 | 2005-05-31 |
1295175883 | Kathryn Bower | Internal Medicine | 4351 Cortez Rd W Ste 100, Bradenton, FL 34210-3215 | 2013-06-27 |
1841507738 | Florida Medical Specialists LLC | Internal Medicine | 200 3rd Ave W, Suite 100, Bradenton, FL 34205-8626 | 2010-09-13 |
1265672018 | Ana Maria Van Der Wall | Internal Medicine | 2401 60th Street Ct W, Bradenton, FL 34209-5500 | 2009-03-05 |
1659338754 | Y Nadiminti Md Pa | Internal Medicine | 401 Manatee Ave E, Suite B, Bradenton, FL 34208-1143 | 2006-05-01 |
1740247576 | Oncology Hematology Associates Pa | Internal Medicine | 401 Manatee Ave E, Suite B, Bradenton, FL 34208-1143 | 2006-04-26 |
1588667901 | Koteshwar R Telukuntla | Internal Medicine | 401 Manatee Ave E, Ste B, Bradenton, FL 34208-1143 | 2005-05-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194343210 | Jayaben Patel | Internal Medicine | 11818 Shire Wycliffe Ct, Tampa, FL 33626-3329 | 2020-07-07 |
1922628833 | Heme Onc Call, LLC | Internal Medicine | 5825 Sw 117th St, Pinecrest, FL 33156-5007 | 2020-04-21 |
1457851552 | Yvette M Herrington | Internal Medicine | 425 S Parsons Ave Ste 101, Brandon, FL 33511-5290 | 2018-02-15 |
1104360221 | Mid Florida Hematology and Oncology Centers Pa | Internal Medicine | 658 Oviedo Medical Drive, Oviedo, FL 32765 | 2016-12-08 |
1225424369 | Florence Arnold | Internal Medicine | 3830 Bee Ridge Rd Ste 301, Sarasota, FL 34233 | 2015-04-15 |
1073901187 | Edward Mcaloon | Internal Medicine | 108 Homeport Dr, Palm Harbor, FL 34683-5409 | 2014-12-26 |
1063818235 | Barry M. Krein | Internal Medicine | 4220 Careywood Dr, Melbourne, FL 32934-7679 | 2014-11-14 |
1912311630 | David Longacre | Internal Medicine | 2439 Weymouth Dr, Clearwater, FL 33764-6556 | 2014-06-20 |
1508270778 | Gerard Chaaya | Internal Medicine | 4306 Alton Rd Fl 3, Miami Beach, FL 33140-2840 | 2014-06-16 |
1982026670 | Mid Florida Hematology and Oncology Centers Pa | Internal Medicine | 2100 W 1st St, Sanford, FL 32771-1603 | 2014-01-14 |
Find all providers with the same taxonomy |
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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.