DR. SUSAN BETH LANDRY DO NPI 1134236680

NPI Information

NPI: 1134236680
Provider Name: DR. SUSAN BETH LANDRY, DO
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
1 MONARCH PL
10TH FLOOR
SPRINGFIELD, MA
ZIP 01144
Phone: (413) 734-2000
Get Directions

DR. Susan Beth Landry, DO is a family medicine in Springfield, MA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Susan Beth Landry, DO NPI is 1134236680. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 MONARCH PL
10TH FLOOR
SPRINGFIELD, MA
ZIP 01144-099
Phone: (413) 734-2000
Fax: (413) 734-8000

The enumeration date for this NPI number is 8/23/2006 and was last updated on 10/9/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	207Q00000X	Family Medicine	47484	WISCONSIN	No
2	207Q00000X	Family Medicine	036-111312	ILLINOIS	No
3	207Q00000X	Family Medicine	234300	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	234300	OTHER	MASSACHUSETTS	MASS BORM LICENSE
2	000903001	MEDICARE PIN	MASSACHUSETTS
3	17750357	MEDICAID	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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