Active NPI
Bowen J Landry, CRNA
- Certified Registered Nurse Anesthetist
- Lafayette, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 04487
- Practice address
- 611 Saint Landry St
Lafayette, LA 70506-4627 - Phone
- (337) 289-2966
- Fax
- (337) 289-2776
- NPI assigned
- Aug 31, 2006
- Last updated
- Mar 28, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 04487 | LA | Primary |
Addresses
Primary practice location
611 Saint Landry St
Lafayette, LA 70506-4627
Mailing address
PO Box 53864
Lafayette, LA 70505-3864
Phone (337) 289-2966
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1472085 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1015 W Med Ctr Blvd
Suite 1500
Webster, TX 77598-4055
Phone (281) 554-3494
1015 W Medical Ctr Blvd
Suite 1200
Webster, TX 77598-4055
Phone (281) 554-3494
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04487 | LA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texans Anesthesia Associates PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Bahec LLC | Current | Accepting new patients | |
| Endo Sedation LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Endo Sedation LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Endo Sedation LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Digestive & Liver Center, PA | Current | Accepting new patients | |
| Crescent City Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Professional Anesthesia Services | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| DRS Burleigh, Dupleix and Rees | Past | Accepting new patients |
Locations
1001 Surrey Ln
Flower Mound, TX 75022
Phone (817) 337-3671
1635 North Loop W
Houston, TX 77008
Phone (713) 867-2066
9525 Katy Fwy
Ste 206
Houston, TX 77024
Phone (713) 400-2900
21720 Kingsland Blvd
Ste 101
Katy, TX 77450
Phone (281) 492-1234
109 Parking Way St
Lake Jackson, TX 77566
Phone (979) 292-0033
1015 W Medical Center Blvd
Ste 1200
Webster, TX 77598
Phone (281) 554-3494
1015 W Medical Center Blvd
Ste 1500
Webster, TX 77598
Phone (281) 557-3223
333 N Texas Ave
Ste 1000
Webster, TX 77598
Phone (281) 557-5620
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Webster, TX
- NPI 1497079701
-
- Certified Registered Nurse Anesthetist
- Keller, TX
- NPI 1588931174
Nurse Anesthetist, Certified Registered
-
- Specialist
- Lake Jackson, TX
- NPI 1851385827
-
dba Pain Relief Associates
- Anesthesiology Physician
- Webster, TX
- NPI 1275733982
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Beaumont, TX
- NPI 1548817471
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Webster, TX
- NPI 1811464936
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Metairie, LA
- NPI 1205888484
Nurse Anesthetist, Certified Registered
-
dba Lafayette Anesthesia Services
- Anesthesiology Physician
- Lafayette, LA
- NPI 1659368694
-
- Anesthesiology Physician
- Lafayette, LA
- NPI 1326064742
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206662400000",
"number": "1033221668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 53864",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705053864",
"telephone_number": "337-289-2966",
"fax_number": "337-289-2776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 SAINT LANDRY ST",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705064627",
"telephone_number": "337-289-2966",
"fax_number": "337-289-2776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDRY",
"first_name": "BOWEN",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2008-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "04487",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1472085",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.