Nicholas Landry D.O. Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NICHOLAS LANDRY D.O. INC.

Practice address

1354 Jackson Pike
Gallipolis, OH 45631-2601

Phone

(740) 441-9800

Fax

(740) 441-9400

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Nicholas V Landry, D.O.NPI 1992781538

Title

Ceo

Phone

(740) 441-9800

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 5

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

• Nicholas Vito Landry, D.O.

  • Family Medicine Physician
  • Gallipolis, OH
  • NPI 1992781538

  OH

  Medicare reassignment Authorized official
• Alexis Danielle Bailey, CASE MANAGER

  • Addiction (Substance Use Disorder) Counselor
  • Ironton, OH
  • NPI 1861235905
  NPD (past)
• Jennifer Lee Belcher, LCDCIII, QMHS

  • Addiction (Substance Use Disorder) Counselor
  • Ironton, OH
  • NPI 1295223832
  NPD (past)
• Katie Bruce, CDCA

  • Addiction (Substance Use Disorder) Counselor
  • Athens, OH
  • NPI 1962979435
  NPD (past)
• Joshua Cooke, CDCA

  • Addiction (Substance Use Disorder) Counselor
  • Ironton, OH
  • NPI 1962991257
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1508967910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 NORTHUP RD",
            "city": "GALLIPOLIS",
            "state": "OH",
            "postal_code": "456318830",
            "telephone_number": "740-441-9800",
            "fax_number": "740-441-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1354 JACKSON PIKE",
            "city": "GALLIPOLIS",
            "state": "OH",
            "postal_code": "456312601",
            "telephone_number": "740-441-9800",
            "fax_number": "740-441-9400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "407 S 3rd St",
            "address_purpose": "LOCATION",
            "city": "Ironton",
            "state": "OH",
            "postal_code": "456381730",
            "country_code": "US",
            "telephone_number": "740-534-1200",
            "fax_number": "740-534-1202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NICHOLAS LANDRY D.O. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "LANDRY",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "740-441-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5630097000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL SECURITY NUMBER",
            "identifier": "$$$$$$$$$",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2144067",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000303053",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janelle Neekamp
• Harry John Nehus, DDS
• Jamey L Nelson
• Newbold Medical LLC
• Melissa Nibert
• Zareen Nisar, MD
• Stephanie Noceti-Dunphy, MD
• Jessica Kay Nolan
• Cheryl Lynn Northup
• Lindsey Northup, MA, CCC-SLP

• All providers in Gallipolis, OH
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.