Landry Osteopathic Healthcare PA LLC

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

Legal business name

LANDRY OSTEOPATHIC HEALTHCARE PA LLC

Practice address

871 Court St
Auburn, ME 04210-3903

Phone

(207) 241-0401

NPI assigned

Apr 12, 2019

Organization subpart

No

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

Authorized official

Name

Charles Landry, DONPI 1063418945

Title

Owner

Phone

(207) 241-0401

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Locations

Practitioners 1

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

• Charles Gerard Landry, DO

  • Neuromusculoskeletal Medicine & OMM Physician
  • Auburn, ME
  • NPI 1063418945
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1699238907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "871 COURT ST",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042103903",
            "telephone_number": "207-241-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 COURT ST",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042103903",
            "telephone_number": "207-241-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDRY OSTEOPATHIC HEALTHCARE PA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-12",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "LANDRY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-241-0401",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Lacroix, LMT
• Laurie Lambert, FNP-C
• Lamey Wellehan Inc
• Sarah S Land, OT
• Kathryn Landry Gradwell, LCSW
• Charles Gerard Landry, DO
• Cynthia Ann Landry, RPH
• Justin Dennis Langis
• Corissa Lynne Laprell, MOT, OTR/L
• Janice Marie Lara-Hewey, L.C.S.W.

• Neuromusculoskeletal Medicine & OMM Physician in Auburn, ME
• Providers in Auburn, ME by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.