LANDRY OSTEOPATHIC HEALTHCARE PA LLC (NPI# 1699238907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699238907 |
| Entity Type | Organization |
| Organization Name | LANDRY OSTEOPATHIC HEALTHCARE PA LLC |
| Practice Address |
871 Court St Auburn ME 04210-3903 |
| Practice Telephone | 2072410401 |
| Mailing Telephone | 2072410401 |
| Enumeration Date | 2019-04-12 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | CHARLES LANDRY (OWNER) |
| Authorized Official Telephone | 2072410401 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | Allopathic & Osteopathic Physicians |
| Street Address |
871 COURT ST |
| City | AUBURN |
| State | ME |
| Zip Code | 04210-3903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063418945 | Charles Gerard Landry | Neuromusculoskeletal Medicine & OMM | 871 Court St, Auburn, ME 04210-3903 | 2005-06-24 |
| 1043781644 | Halen Earle | Counselor | 871 Court St, Auburn, ME 04210-3903 | 2018-12-09 |
| 1679096457 | Maryanne Mcnally | Massage Therapist | 871 Court St, Auburn, ME 04210-3903 | 2017-07-24 |
| 1386177459 | Manual Physical Therapy, LLC | Physical Therapist | 871 Court St, Auburn, ME 04210-3903 | 2017-04-06 |
| 1699950584 | Josie Hamilton Loughrey | Social Worker | 871 Court St, Auburn, ME 04210-3903 | 2008-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538632245 | Matthew Charles Dove | Specialist/Technologist | 30 Belgrade Ave, Suite A, Auburn, ME 04210 | 2019-01-04 |
| 1851880603 | Dba Central Maine Conditioning Clinic | Massage Therapist | 30 Belgrade Ave Suite A, Auburn, ME 04210 | 2018-05-08 |
| 1285189654 | Kimberly Ann Boutwell | Nurse Practitioner | 15 Gracelawn Road, Auburn, ME 04210 | 2016-08-16 |
| 1487036554 | Eric Morrow | Specialist/Technologist | 36 Belgrade Ave, Auburn, ME 04210 | 2015-06-24 |
| 1750770152 | Larissa J Brown | Marriage & Family Therapist | 86 Main Sreet, Suite 302, Auburn, ME 04210 | 2015-01-22 |
| 1659771046 | Daniel Fontaine | Pharmacist | 689 Minot Ave., Auburn, ME 04210 | 2014-09-04 |
| 1104236793 | Caitlin White | Occupational Therapist | 415 Rodman Road, Auburn, ME 04210 | 2014-05-05 |
| 1780954883 | Richard Marc Pelletier | Counselor | 24 Dunn Street, Auburn, ME 04210 | 2012-01-05 |
| 1285929026 | Cynthia Morgan | Social Worker | 60 Court St., Auburn, ME 04210 | 2011-06-09 |
| 1972811164 | Wendy Thomas-blais | Social Worker | 229 Center St 2, Auburn, ME 04210 | 2010-09-22 |
| Find all providers in zip 04210 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063418945 | Charles Gerard Landry | Neuromusculoskeletal Medicine & OMM | 871 Court St, Auburn, ME 04210-3903 | 2005-06-24 |
| 1225033277 | Andrew Haltof | Neuromusculoskeletal Medicine & OMM | 86 Main St, Auburn, ME 04210-5853 | 2005-06-16 |
| 1427082916 | Raymond H Stone | Neuromusculoskeletal Medicine & OMM | 2 Great Falls Plz, Auburn, ME 04210-5966 | 2006-07-10 |
| 1629075940 | Central Maine Osteopathic Manual Medicine, LLC | Neuromusculoskeletal Medicine & OMM | 2 Great Falls Plz, Auburn, ME 04210-5966 | 2005-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417428848 | David D Keller Do PC | Neuromusculoskeletal Medicine & OMM | 195 Fore River Pkwy Ste 470, Portland, ME 04102-2787 | 2018-12-11 |
| 1659715738 | Maine Osteopathic Medicine, LLC | Neuromusculoskeletal Medicine & OMM | 146 Ocean St, Suite 2, South Portland, ME 04106-3664 | 2013-04-19 |
| 1114161874 | Timothy Christopher Kulikowski | Neuromusculoskeletal Medicine & OMM | 915 Union St Ste 4, Bangor, ME 04401-8603 | 2009-04-26 |
| 1720242357 | Daniel S Gibbons | Neuromusculoskeletal Medicine & OMM | 23 Durham Rd Ste 101, Freeport, ME 04032-6796 | 2008-07-14 |
| 1285896514 | Jennifer Lee Lakis | Neuromusculoskeletal Medicine & OMM | 14 Maine St # 14, Brunswick, ME 04011-2049 | 2008-06-27 |
| 1003006271 | Karen M Benezra | Neuromusculoskeletal Medicine & OMM | 62 Portland Rd Ste 21, Kennebunk, ME 04043-6650 | 2007-07-25 |
| 1508065210 | Joshua Iannetta | Neuromusculoskeletal Medicine & OMM | 632 Us Route 1, Scarborough, ME 04074-9794 | 2007-07-12 |
| 1265579015 | Bonnie Joan Sendzicki | Neuromusculoskeletal Medicine & OMM | 81 Blackguard Road, Waterford, ME 04088 | 2007-01-31 |
| 1760531180 | Christine Blake Smith | Neuromusculoskeletal Medicine & OMM | 114 Stroudwater St, Westbrook, ME 04092-4037 | 2007-01-09 |
| 1003984311 | Charles W Sullivan | Neuromusculoskeletal Medicine & OMM | 98 Second St, Hallowell, ME 04347-1368 | 2006-12-04 |
| Find all providers with the same taxonomy | ||||
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| 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.