# BLAKE C. LANDRY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1417953597
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 022661 | LA | — |
| 207V00000X | Obstetrics & Gynecology Physician | 022661 | LA | — |
| 207V00000X | Obstetrics & Gynecology Physician | ME174917 | FL | Yes |

## Other

- **Enumeration date:** 06/23/2005
- **Last updated:** 10/30/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0005507718 | AETNA | LA |
| 05 | — | 128831500 | — | FL |
| 05 | — | 1494895 | — | LA |
| 01 | — | 153236130118 | HUMANA | LA |
| 01 | — | 720847461 0009 | CIGNA | LA |