Keith Landry (NPI# 1851404453, PAC ID# 7416044318) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1851404453 |
| PAC ID by PECOS | 7416044318 |
| Professional Enrollment ID | I20071024000351 |
| Full Name | Keith Landry |
| Organization Legal Name | THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION |
| Address |
3928 Hwy 70 S Thibodaux Regional Family Medicine Clinic Pierre Part LA 70339-4460 |
| Phone Number | 9852521111 |
| Gender | M |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
| Graduation Year | 1984 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8224011754 |
| Number of Group Practice Members | 75 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 191303 | ASSUMPTION COMMUNITY HOSPITAL |
| 190064 | OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER |
| 190004 | THIBODAUX REGIONAL MEDICAL CENTER |
| 191308 | PREVOST MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3928 Hwy 70 S, Thibodaux Regional Family Medicine Clinic, Pierre Part, LA 70339-4460 | 9852521111 | THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 89% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 12% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 99% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 91% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 12% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 93% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 51% |
| Organization Legal Name | THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION |
| Physicians | 64 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David R Kesterson | Physician Assistant | Thibodaux Regional Network Development Corporation | 525 Saint Mary St, Thibodaux, LA 70301-2627 |
| Eric J Gravois | Family Medicine | Thibodaux Regional Network Development Corporation | 3928 Hwy 70 S, Thibodaux Regional Family Medicine Clinic, Pierre Part, LA 70339-4460 |
| Ashish Udhrain | Hematology/oncology | Thibodaux Regional Network Development Corporation | 608 N Acadia Rd, Thibodaux Regional Oncology Clinic, Thibodaux, LA 70301-4847 |
| Richard D Demoss | Pathology | Thibodaux Regional Network Development Corporation | 602 N Acadia Rd, Thibodaux Regional Maternal Fetal Clinic, Thibodaux, LA 70301-4847 |
| Jared Y Gilmore Iii | Cardiovascular Disease (cardiology) | Thibodaux Regional Network Development Corporation | 602 N Acadia Rd Ekg Dept, Thibodaux Regional Heart and Vascular Surgery Clinic, Thibodaux, LA 70301-4847 |
| Tatyana V Kalinicheva | Pathology | Thibodaux Regional Network Development Corporation | 602 N Acadia Rd, Thibodaux Regional Maternal Fetal Clinic, Thibodaux, LA 70301-4847 |
| Gregory F Dobard | Diagnostic Radiology | Thibodaux Regional Network Development Corporation | 602 N Acadia Rd, Thibodaux, LA 70301-4847 |
| Vicky L Vilcan | Certified Registered Nurse Anesthetist (crna) | Thibodaux Regional Network Development Corporation | 602 N Acadia Rd, Thibodaux, LA 70301-4847 |
| John B Imms | Internal Medicine | Thibodaux Regional Network Development Corporation | 602 N Acadia Rd, Thibodaux Regional Maternal Fetal Clinic, Thibodaux, LA 70301-4847 |
| Meggie E Doucet | Pathology | Thibodaux Regional Network Development Corporation | 602 N Acadia Rd, Thibodaux Regional Maternal Fetal Clinic, Thibodaux, LA 70301-4847 |
| Street Address |
3928 HWY 70 S THIBODAUX REGIONAL FAMILY MEDICINE CLINIC |
| City | PIERRE PART |
| State | LA |
| Zip | 70339-4460 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric J Gravois | Family Medicine | Thibodaux Regional Network Development Corporation | 3928 Hwy 70 S, Thibodaux Regional Family Medicine Clinic, Pierre Part, LA 70339-4460 |
| Amber T Torres | Nurse Practitioner | Thibodaux Regional Network Development Corporation | 3928 Hwy 70 S, Thibodaux Regional Family Medicine Clinic, Pierre Part, LA 70339-4460 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason M Scioneaux | Nurse Practitioner | Teche Action Board Inc | 3617 Hwy 70 S, Pierre Part, LA 70339-4455 |
| Laura Elizabeth Gros | Physician Assistant | Teche Action Board Inc | 3617 Hwy 70 S, Pierre Part, LA 70339-4455 |
| Holly Sue Anne Delatte | Nurse Practitioner | Nagaratna Reddy M.d | 3407 Hwy 70 S, Pierre Part, LA 70339-4524 |
| Crystal G Rivet | Nurse Practitioner | Nagaratna Reddy M.d | 3407 Hwy 70 S, Pierre Part, LA 70339-4524 |
| Genea T Breaux | Physical Therapy | 2729 Lee Dr, Pierre Part, LA 70339-4935 |
| City | PIERRE PART |
| Zip Code | 70339 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PIERRE PART + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Keith Landry.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.