Edmund C Landry M D P C

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

2000146363 Issued in MO

Legal business name

EDMUND C LANDRY M D P C

Doing business as

Kennett Orthoaedic Center

Practice address

402 Recovery Rd
Kennett, MO 63857-3235

Phone

(573) 888-2831

Fax

(573) 888-5408

NPI assigned

Nov 1, 2006

Last updated

Apr 20, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Edmund C Landry, MD

Title

President

Phone

(573) 888-2831

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Kennett Orthoaedic Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1063599454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 RECOVERY RD",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638573235",
            "telephone_number": "573-888-2831",
            "fax_number": "573-888-5408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 RECOVERY RD",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638573235",
            "telephone_number": "573-888-2831",
            "fax_number": "573-888-5408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDMUND C LANDRY M D P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "LANDRY",
        "authorized_official_first_name": "EDMUND",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-888-2831",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "MO",
            "license": "2000146363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC OF MISSOURI",
            "identifier": "125262",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR BLUE CROSS",
            "identifier": "98523",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "425643",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kennett Orthoaedic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dunklin County Health Center
• Dunklin Day Activity Center
• Carol Dye, MSW
• Donna Eakes
• James Allen Edgington, DO
• Carolyn N Edwards-Nelson, LPN
• David Eichler
• Samuel Arthur Elliott
• Dakota Lane Coriene Ellis
• Lyndsey Ellis

• Orthopaedic Surgery Physician in Kennett, MO
• Providers in Kennett, MO by specialty
• Orthopaedic Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.