Dale Thomas Landry Jr. (NPI# 1518108588, PAC ID# 7911128863) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1518108588 |
| PAC ID by PECOS | 7911128863 |
| Professional Enrollment ID | I20150821013344 |
| Full Name | Dale Thomas Landry Jr. |
| Organization Legal Name | ORTHOPAEDIC ASSOCIATES |
| Address |
36474 C Emerald Coast Pkwy Destin FL 32541-4713 |
| Phone Number | 8503159213 |
| Gender | M |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
| Graduation Year | 2009 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 5294823084 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100292 | SACRED HEART HOSPITAL ON THE EMERALD COAST |
| 100223 | FORT WALTON BEACH MEDICAL CENTER |
| 100122 | NORTH OKALOOSA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 36474 C Emerald Coast Pkwy, Destin, FL 32541-4713 | 8503159213 | ORTHOPAEDIC ASSOCIATES |
| 1034 Mar Walt Dr, Suite 100, Ft Walton Beach, FL 32547-6772 | 8503159210 | ORTHOPAEDIC ASSOCIATES |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 83% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 93% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 100% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 10% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 52% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | ORTHOPAEDIC ASSOCIATES |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas J Seales | Orthopedic Surgery | Orthopaedic Associates | 1034 Mar Walt Dr, Suite 100, Ft Walton Beach, FL 32547-6772 |
| Jason W Thackeray | Orthopedic Surgery | Orthopaedic Associates | 36474 C Emerald Coast Pkwy, Destin, FL 32541-4713 |
| Cassandra L Tang | Physician Assistant | Orthopaedic Associates | 1034 Mar Walt Dr, Suite 100, Ft Walton Beach, FL 32547-6772 |
| Gary R Sneller Ii | Physician Assistant | Orthopaedic Associates | 1034 Mar Walt Dr, Suite 100, Ft Walton Beach, FL 32547-6772 |
| Mark J Tenholder | Orthopedic Surgery | Orthopaedic Associates | 36474 C Emerald Coast Pkwy, Destin, FL 32541-4713 |
| Thomas A Fusco | Podiatry | Orthopaedic Associates | 1034 Mar Walt Dr, Suite 100, Ft Walton Beach, FL 32547-6772 |
| James F Watt | Orthopedic Surgery | Orthopaedic Associates | 36474 C Emerald Coast Pkwy, Destin, FL 32541-4713 |
| Donald D Chipman Jr. | Interventional Pain Management | Orthopaedic Associates | 1034 Mar Walt Dr, Suite 100, Ft Walton Beach, FL 32547-6772 |
| Mark E Graeber | Podiatry | Orthopaedic Associates | 1034 Mar Walt Dr, Suite 100, Ft Walton Beach, FL 32547-6772 |
| Michael Louis Shawbitz | Neurology | Orthopaedic Associates | 36474 C Emerald Coast Pkwy, Destin, FL 32541-4713 |
| Street Address |
36474 C EMERALD COAST PKWY |
| City | DESTIN |
| State | FL |
| Zip | 32541-4713 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason W Thackeray | Orthopedic Surgery | Orthopaedic Associates | 36474 C Emerald Coast Pkwy, Destin, FL 32541-4713 |
| Mark J Tenholder | Orthopedic Surgery | Orthopaedic Associates | 36474 C Emerald Coast Pkwy, Destin, FL 32541-4713 |
| James F Watt | Orthopedic Surgery | Orthopaedic Associates | 36474 C Emerald Coast Pkwy, Destin, FL 32541-4713 |
| Michael Louis Shawbitz | Neurology | Orthopaedic Associates | 36474 C Emerald Coast Pkwy, Destin, FL 32541-4713 |
| Theodore Macey | Orthopedic Surgery | Orthopaedic Associates | 36474 C Emerald Coast Pkwy, Destin, FL 32541-4713 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen C Henry Ii | Chiropractic | 412 Mountain Dr, Destin, FL 32541-2334 | |
| Stephen C Henry | Chiropractic | 412 Mountain Dr, Destin, FL 32541-2334 | |
| John W Keller | Psychologist, Clinical | Emerald Coast Counseling Center Pa | 215 Mountain Dr, Suite 106, Destin, FL 32541-2346 |
| Victoria E Miller | Clinical Social Worker | Emerald Coast Counseling Center Pa | 215 Mountain Dr, Suite 106, Destin, FL 32541-2346 |
| Kenneth Davis Whidden Jr. | Chiropractic | 501 Harbor Blvd C, Destin, FL 32541-2348 | |
| Michael E Raim | Optometry | 501 Harbor Blvd, Suite D, Destin, FL 32541-2348 | |
| James Moody | General Surgery | 415 Mountain Dr, Suite 6, Destin, FL 32541-2349 | |
| Patricia Walsh | Clinical Social Worker | 385 Harbor Blvd, Suite 101b, Destin, FL 32541-2351 | |
| Charles Bernard Barniv | Family Medicine | 462 Harbor Blvd, Suite 3, Destin, FL 32541-2436 | |
| John Quinn | Physical Therapy | 623 Harbor Blvd, Suite 5, Destin, FL 32541-2436 | |
| Find all physicians in zip 32541 | |||
| City | DESTIN |
| Zip Code | 32541 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | DESTIN + ORTHOPEDIC SURGERY |
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| 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.