Keith J Landry (M.D.) is a health care provider specializes in Family Medicine. He is associated with medical group practice THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION and is affiliated with 5 hospitals as shown below.
Basic Information| Practice Location | 114 Highway 403, Paincourtville, LA 70390, US |
|---|---|
| Practice Location Phone | 985-369-3514 |
| Practice Location Fax | 985-252-1400 |
| Gender | Male |
| Specialty In | Family Medicine |
| Medical School | Louisiana State University School Of Medicine In New Orleans |
| Graduation Year | 1984 |
| NPI ? | 1851404453 |
| PECOS ID | 7416044318 |
| Enrollment ID | I20071024000351 |
| Entity Type | Individual |
| Enumeration Date ? | Aug 16, 2006 |
| Last Update Date ? | Sep 16, 2014 |
| Note: NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS). PECOS: Provider Enrollment, Chain, and Ownership System. | |
Specialties & Licenses of Keith J Landry| Specialty | Provider Type | Specialization | License | License State |
|---|---|---|---|---|
| Family Medicine | Allopathic & Osteopathic Physicians | 017704 | Louisiana | |
Medicare Participation of Keith J Landry| Accepts Medicare Assignment | Yes |
|---|---|
| Report Quality Measures | |
| Use Electronic Health Records | Yes |
| Committed to Teart Health Through the Million Hearts® initiative | |
Hospital & Group Practice Affiliations of Keith J Landry| Medical Group Practice | Thibodaux Regional Network Development Corporation |
|---|---|
| Affiliation 1 | Assumption Community Hospital |
| Affiliation 2 | Thibodaux Regional Medical Center |
| Affiliation 3 | Teche Regional Medical Center |
| Affiliation 4 | Our Lady Of The Lake Regional Medical Center |
| Affiliation 5 | St Elizabeth Hospital |
Legacy Provider IDs of Keith J Landry| Provider Id | Issuer State | Issuer Type | Issuer |
|---|---|---|---|
| 300093737 | Louisiana | Other | RAILROAD MEDICARE |
| 1348643 | Louisiana | Medicaid | |
