DR. CLYDE EDWARD LANDRUM (NPI# 1659662625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659662625 |
| Entity Type | Individual |
| Full Name | DR. CLYDE EDWARD LANDRUM |
| Credential | M.D. |
| Practice Address |
41 Shadows Bend New Iberia LA 70563 |
| Mailing Address |
41 Shadow Bnd New Iberia LA 70563-1738 |
| Practice Telephone | 3375193399 |
| Practice Fax Number | 3373696829 |
| Mailing Telephone | 3375193399 |
| Mailing Fax Number | 3373696829 |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2011-04-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
010907 | LA | Allopathic & Osteopathic Physicians |
| Street Address |
41 SHADOWS BEND |
| City | NEW IBERIA |
| State | LA |
| Zip Code | 70563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932696812 | Check Point Urgent Care | Clinic/Center | 1108 Parkview Drive Suite A, New Iberia, LA 70563 | 2018-04-17 |
| 1497285399 | Pamela Thibeaux | Counselor | 125 Duperier Ave, New Iberia, LA 70563 | 2017-06-14 |
| 1487956538 | Baker Suraj, Inc | Internal Medicine | 602 N. Lewis Ave., Suite 100, New Iberia, LA 70563 | 2010-11-23 |
| 1619174208 | Sleep Solutions of New Iberia, LLC | Clinic/Center | 1100 Andre St Ste 200b, New Iberia, LA 70563 | 2007-06-28 |
| 1134253768 | Mark Steve Derouen | Dentist | 2301 Old Jeanerette Road, New Iberia, LA 70563 | 2007-03-15 |
| 1851441927 | Nancy Ann Schneider | Nurse Practitioner | 1302 Ed Broussard Road, New Iberia, LA 70563 | 2007-01-11 |
| 1538245980 | Morgan & Associates | Durable Medical Equipment & Medical Supplies | 2213 Old Jeanerette Road, New Iberia, LA 70563 | 2006-10-28 |
| 1528143955 | Rebecca H Charpentier | Dentist | 600 Rue De Onetta, New Iberia, LA 70563 | 2006-10-26 |
| 1518054709 | Southern Rx | Pharmacy | 1033 Andre St, New Iberia, LA 70563 | 2006-10-07 |
| 1730274200 | Michael Cotugno | Emergency Medicine | 600 N. Lewis Ave., New Iberia, LA 70563 | 2006-10-03 |
| Find all providers in zip 70563 | ||||
| Taxonomy Code | 207YS0123X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Facial Plastic Surgery |
| An otolaryngologist who specializes in facial plastic surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619405404 | Pennington Facial Plastics, LLC | Otolaryngology | 345 Drexel Dr, Shreveport, LA 71106-2305 | 2017-05-24 |
| 1225377856 | James J Lanasa Jr Md Pmc | Otolaryngology | 2223 Quail Run Dr., Ste E, Baton Rouge, LA 70808 | 2013-02-01 |
| 1598891806 | David Malcom Doan | Otolaryngology | 15814 Professional Plaza, Hammond, LA 70403-1453 | 2007-02-23 |
| 1952480634 | Ruth Marianne Owens | Otolaryngology | 3900 Veterans Memorial Blvd Ste 200, Metairie, LA 70002-5634 | 2006-11-03 |
| 1497709307 | Harold G Bienvenu IIi | Otolaryngology | 711 S Ryan St, Ste # 100, Lake Charles, LA 70601-5785 | 2006-05-22 |
| 1477502474 | Stephen Eric Metzinger | Otolaryngology | 3223 8th St, Suite 200, Metairie, LA 70002-1623 | 2006-05-08 |
| 1053722785 | Khoobehi & Associates, LLC | Otolaryngology | 3901 Veterans Memorial Blvd, Metairie, LA 70002-5602 | 2014-05-15 |
| 1134411507 | Lindsey Alexander Pennington | Otolaryngology | 1501 Kings Hwy, Otolaryngology, Shreveport, LA 71103-4228 | 2011-05-04 |
| 1538312848 | Robert Glynn Peden | Otolaryngology | 533 Bolivar St, Suite 566, New Orleans, LA 70112-1349 | 2008-10-30 |
| 1306004460 | Rizwan Aslam | Otolaryngology | 1430 Tulane Ave, Sl-59, New Orleans, LA 70112-2632 | 2008-05-27 |
| Find all providers with the same taxonomy | ||||
| City | NEW IBERIA |
| Zip Code | 70563 |
Please comment or provide details below to improve the information on DR. CLYDE EDWARD LANDRUM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.