Randy James Landry, CRNA | |
2817 Rock Merritt Ave Stop A, Fort Liberty, NC 28310-6878 | |
(910) 907-6323 | |
Not Available |
Full Name | Randy James Landry |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 2817 Rock Merritt Ave Stop A, Fort Liberty, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568420842 | NPI | - | NPPES |
000934271C | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN144531 (Georgia) | Primary |
Entity Name | Anesthesia Associates Of Columbus Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740251248 PECOS PAC ID: 6901701135 Enrollment ID: O20031202000054 |
Entity Name | Anesthesia Management Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679525661 PECOS PAC ID: 5496757965 Enrollment ID: O20070213000210 |
Entity Name | Wilson Anesthesia Associates, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104178482 PECOS PAC ID: 5698926673 Enrollment ID: O20121126000110 |
Entity Name | St Francis Physician Practices Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326749417 PECOS PAC ID: 8729381033 Enrollment ID: O20160120002073 |
Mailing Address | Practice Location Address |
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Randy James Landry, CRNA 2817 Rock Merritt Ave, Fort Liberty, NC 28310-0001 Ph: (910) 907-8922 | Randy James Landry, CRNA 2817 Rock Merritt Ave Stop A, Fort Liberty, NC 28310-6878 Ph: (910) 907-6323 |
Mr. Kevin Travis Worth, RN Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2817 Rock Merritt Avenue, Fort Liberty, NC 28310 Phone: 910-907-6036 | |
Kevin Costello, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2817 Rock Merritt Ave Womack Army Medical Center, Fort Liberty, NC 28310 Phone: 910-907-8922 Fax: 910-907-6069 | |
Matthew Middleton Fanning, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2817 Rock Merritt Ave, Fort Liberty, NC 28310 Phone: 910-907-6000 | |
Mr. Kristoffer Villamin, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2817 Rock Merritt Ave Womack Army Medical Center, Fort Liberty, NC 28310 Phone: 910-907-8922 Fax: 910-907-6069 | |
Connor Mcclellan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2817 Rock Merritt Ave, Fort Liberty, NC 28310 Phone: 910-907-8922 | |
Hannah Hawkinson Melkun, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2817 Rock Merritt Ave, Fort Liberty, NC 28310 Phone: 910-907-8922 | |
Dr. Thomas Gerald Baughan Ii, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2817 Rock Merritt Ave, Fort Liberty, NC 28310 Phone: 910-907-8922 Fax: 910-907-6069 |