Organization Active NPI

Cheryl C. Landry, MD PA

  • Legal Medicine
  • Lubbock, TX
National Provider Identifier
1093025447
Registry record updated Oct 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
J6533 Issued in TX
Legal business name
CHERYL C. LANDRY, MD PA
Practice address
5215 96TH St
Lubbock, TX 79424-4413
Phone
(806) 780-6868
Fax
(806) 780-2065
NPI assigned
Oct 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2010

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

Authorized official

Name
Cheryl C Landry, M.D.NPI 1215973417
Title
Medical Doctor
Phone
(806) 780-6060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X J6533 TX Primary

Addresses

Primary practice location

5215 96TH St
Lubbock, TX 79424-4413

Mailing address

5215 96TH St
Lubbock, TX 79424-4413
Phone (806) 780-6868

National Provider Directory

National Provider Directory

Locations

5215 96th St
Lubbock, TX 79424
Phone (806) 780-6868

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287446400000",
    "number": "1093025447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5215 96TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794244413",
            "telephone_number": "806-780-6868",
            "fax_number": "806-780-2065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 96TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794244413",
            "telephone_number": "806-780-6868",
            "fax_number": "806-780-2065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERYL C. LANDRY, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-19",
        "last_updated": "2010-10-19",
        "status": "A",
        "authorized_official_last_name": "LANDRY",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "806-780-6060",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "TX",
            "license": "J6533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; 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.