Individual
DR. NICHOLAS VITO LANDRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1354 JACKSON PIKE, GALLIPOLIS, OH 45631-2601
(740) 441-9800
(740) 441-9400
Mailing address
1325 NORTHUP RD, GALLIPOLIS, OH 45631-8830
(740) 441-9800
(740) 441-9400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34006760
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000303053
ANTHEM
OH
05
—
2144067
—
OH
01
—
300147896027
CORESOURCE
OH
01
—
340066272001
MEDICAL MUTUAL OF OHIO
OH
01
—
340066272007
MEDICAL MUTUAL OF OMAHA
OH
05
—
5630097000
—
WV
01
—
7108004
AETNA
OH
Enumeration date
12/15/2005
Last updated
06/07/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us