Keith P Landry (NPI# 1073502670, PAC ID# 4082673215) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1073502670 |
| PAC ID by PECOS | 4082673215 |
| Professional Enrollment ID | I20041005000208 |
| Full Name | Keith P Landry |
| Organization Legal Name | PUTNAM COUNTY HOSPITAL |
| Address |
440 E Pat Rady Way North Putnam Family Healthcare Bainbridge IN 46105-9359 |
| Phone Number | 7655222556 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1951396605 |
| Number of Group Practice Members | 33 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 151333 | PUTNAM COUNTY HOSPITAL |
| 150005 | HENDRICKS REGIONAL HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 440 E Pat Rady Way, North Putnam Family Healthcare, Bainbridge, IN 46105-9359 | 7655222556 | PUTNAM COUNTY HOSPITAL |
| 1542 S Bloomington St, Putnam Prompt Care, Greencastle, IN 46135-2212 | 7656552686 | PUTNAM COUNTY HOSPITAL |
| Organization Legal Name | PUTNAM COUNTY HOSPITAL |
| Physicians | 36 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ceciley Marie Starkey Casselman | Family Medicine | Putnam County Hospital | 440 E Pat Rady Way, North Putnam Family Healthcare, Bainbridge, IN 46105-9359 |
| Nicholas C Heck | Psychologist, Clinical | Putnam County Hospital | 1542 S Bloomington St, Greencastle, IN 46135-2212 |
| Sharon A Nicoson | Nurse Practitioner | Putnam County Hospital | 1542 S Bloomington, 1100 Putnam Surgical Specialties, Greencastle, IN 46135-2212 |
| Sara E Taylor | Physician Assistant | Putnam County Hospital | 51 E Market St, Family Medicine of Cloverdale, Cloverdale, IN 46120-8427 |
| Helen E Sandford | Nurse Practitioner | Putnam County Hospital | 1542 S Bloomington St, Greencastle, IN 46135-2212 |
| Holly Elizabeth Lee | Nurse Practitioner | Putnam County Hospital | 1542 S Bloomington St, Greencastle, IN 46135-2212 |
| Alexandria Joanne Roemke | Nurse Practitioner | Putnam County Hospital | 1542 S Bloomington St, Johnson Nichols Health Clinic, Greencastle, IN 46135-2212 |
| Jennifer D Sheffler | Nurse Practitioner | Putnam County Hospital | 1542 S Bloomington St, Greencastle, IN 46135-2212 |
| Keith R Thomae | General Surgery | Putnam County Hospital | 1542 S Bloomington St, 1100 Putnam Surgical Specialties, Greencastle, IN 46135-2212 |
| Alexandra M Gerber | Nurse Practitioner | Putnam County Hospital | 1542 S Bloomington St, Suite 1100, Greencastle, IN 46135-2212 |
| Street Address |
440 E PAT RADY WAY NORTH PUTNAM FAMILY HEALTHCARE |
| City | BAINBRIDGE |
| State | IN |
| Zip | 46105-9359 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ceciley Marie Starkey Casselman | Family Medicine | Putnam County Hospital | 440 E Pat Rady Way, North Putnam Family Healthcare, Bainbridge, IN 46105-9359 |
| Cathy J Clodfelter | Nurse Practitioner | Putnam County Hospital | 440 E Pat Rady Way, North Putnam Family Healthcare, Bainbridge, IN 46105-9359 |
| Robert Allen Heavin | Family Medicine | Putnam County Hospital | 440 E Pat Rady Way, North Putnam Family Healthcare, Bainbridge, IN 46105-9359 |
| Emily A Brown | Physician Assistant | Putnam County Hospital | 440 E Pat Rady Way, North Putnam Family Healthcare, Bainbridge, IN 46105-9359 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dawn E Fairburn | Nurse Practitioner | Hendricks County Hospital | 1152 E Us Hwy 36, Hendricks Regional Hlth Bainbridge, Bainbridge, IN 46105-9604 |
| Travis Randall Mcpike | Nurse Practitioner | Hendricks County Hospital | 1152 E Us Hwy 36, Hendricks Regional Hlth Bainbridge, Bainbridge, IN 46105-9604 |
| Jesse Li | Neurology | Hendricks County Hospital | 1152 E Us Hwy 36, Hendricks Regional Hlth Bainbridge, Bainbridge, IN 46105-9604 |
| Jared A Fialkow | Nephrology | Hendricks County Hospital | 1152 E Us Hwy 36, Hendricks Regional Hlth Bainbridge, Bainbridge, IN 46105-9604 |
| City | BAINBRIDGE |
| Zip Code | 46105 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BAINBRIDGE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Keith P 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.