Active NPI
Kim Landry, M D.
- Emergency Medicine Physician
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME63901
- Practice address
- 8383 N Davis Hwy
Pensacola, FL 32514-6039 - Phone
- (850) 494-4000
- NPI assigned
- Apr 11, 2006
- Last updated
- Feb 18, 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME63901 | FL | Primary |
Addresses
Primary practice location
8383 N Davis Hwy
Pensacola, FL 32514-6039
Mailing address
Dept at 952627
Atlanta, GA 31192-2627
Phone (850) 476-8602
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18961 | Other | FL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME63901 | FL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tele911 Florida Emergency Medical Group, P.a. | Emergency Medicine | Current | Accepting new patients |
| Relymd Virtual Health Regional, PC | Emergency Medicine | Current | Accepting new patients |
| Relymd Virtual Health Ca, PC | Emergency Medicine | Current | Accepting new patients |
| Panhandle Emergency Physicians a Div of Sacred Heart Hosp Pensacola | Emergency Medicine | Current | Accepting new patients |
| Relymd Virtual Health Ga, LLC | Emergency Medicine | Current | Accepting new patients |
| Relymd Virtual Health TX, PA | Emergency Medicine | Current | Accepting new patients |
| Excalibur Telemedical Services | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Specialists PLC | Emergency Medicine | Past | Accepting new patients |
| West Florida Regional Medical Center | Past | Accepting new patients |
Locations
111 N Orange Ave
Ste 800
Orlando, FL 32801
Phone (212) 287-4257
5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700
5665 New Northside Dr
Ste 320
Sandy Springs, GA 30328
Phone (770) 874-5468
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.
-
dba Panhandle Emergency Physicians
- Emergency Medicine Physician
- Pensacola, FL
- NPI 1215948096
-
- Emergency Medicine Physician
- Orlando, FL
- NPI 1063174647
-
- Emergency Medicine Physician
- Gulf Breeze, FL
- NPI 1982224259
-
- Emergency Medicine Physician
- Pensacola, FL
- NPI 1033158092
-
dba Memory Disorder Clinic
- Internal Medicine Physician
- Pensacola, FL
- NPI 1174578579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203292800000",
"number": "1851354609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPT AT 952627",
"city": "ATLANTA",
"state": "GA",
"postal_code": "311922627",
"telephone_number": "850-476-8602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8383 N DAVIS HWY",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325146039",
"telephone_number": "850-494-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDRY",
"first_name": "KIM",
"name_prefix": "Dr.",
"credential": "M D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-11",
"last_updated": "2008-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME63901",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "18961",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
- Landmark Drugs, Inc. (Vital Care of Pensacola)
- Landmark Drugs, Inc. (Vital Care of Pensacola)
- Landmark Drugs, Inc. (Vital Care of Pensacola)
- Landmark Drugs, Inc. (Vital Care of Pensacola)
- Landmark Drugs, Inc. (Vital Care of Pensacola)
- Katouria' Lane Chambers, PHARM.D
- Charlene Marie Lane, ARNP
- Elia E Lane, RPH
- Julia Gayle Lane, BHT
- Natasha Lane, PSY.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.