Nicholas Vito Landry (NPI# 1992781538, PAC ID# 0941112536) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1992781538 |
| PAC ID by PECOS | 0941112536 |
| Professional Enrollment ID | I20031104000203 |
| Full Name | Nicholas Vito Landry |
| Address |
1086 Jackson Pike Suite 206 Gallipolis OH 45631-1396 |
| Gender | M |
| Credential | DO |
| Medical School | OHIO UNIVERSITY OF OSTEO MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360054 | HOLZER MEDICAL CENTER |
| 360159 | ADENA REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1086 Jackson Pike, Suite 206, Gallipolis, OH 45631-1396 |
| Street Address |
1086 JACKSON PIKE SUITE 206 |
| City | GALLIPOLIS |
| State | OH |
| Zip | 45631-1396 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sirintra Parnichyakorn | Physician Assistant | Holzer Clinic LLC | 204 2nd Ave, Gallipolis, OH 45631-1022 |
| William B Thomas | Optometry | 346 3rd Ave, Gallipolis, OH 45631-1106 | |
| Patricia Fisco | Nurse Practitioner | 170 Pinecrest Dr, Gallipolis, OH 45631-1347 | |
| Paul Kiesling | Optometry | 1163 Jackson Pike, Gallipolis, OH 45631-1383 | |
| Robert Bruce Terry | Optometry | 1371 Jackson Pike, Gallipolis, OH 45631-1385 | |
| Vivien R Newbold | General Practice | 334 2nd Ave, Suite 1e, Gallipolis, OH 45631-1414 | |
| Wendi R Hanna | Nurse Practitioner | Holzer Clinic LLC | 170 Jackson Pike, Gallipolis, OH 45631-1539 |
| Eugenia Kay Mccoy | Certified Registered Nurse Anesthetist (crna) | Holzer Clinic LLC | 100 Jackson Pike, Gallipolis, OH 45631-1560 |
| Shana A Vore | Pediatric Medicine | Holzer Clinic LLC | 90 Jackson Pike, Gallipolis, OH 45631-1560 |
| Jared A Sheets | Internal Medicine | Holzer Clinic LLC | 100 Jackson Pike, Gallipolis, OH 45631-1560 |
| Find all physicians in zip 45631 | |||
| City | GALLIPOLIS |
| Zip Code | 45631 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | GALLIPOLIS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Nicholas Vito Landry.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.