Dr. Jason Alton Landry, M.D.

Internal Medicine in Lafayette, LA. Individual provider (NPI-1).

NPI number1497972020

StatusActive

Last updated in NPPESFeb 20, 2017

Details

NPI: 1497972020
Entity type: Individual (NPI-1)
Name: Dr. Jason Alton Landry
Credential: M.D.
Sex: Male
Sole proprietor: No
Enumeration date: Apr 18, 2007
Last updated: Feb 20, 2017

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207R00000X	Internal Medicine	MD 201584	LA	Yes

Practice location

3149 Ambassador Caffery Pkwy
Lafayette, LA 70506-7209

Phone 337-706-3459

Mailing address

3149 Ambassador Caffery Pkwy
Lafayette, LA 70506-7209

Phone 337-706-3459

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Internal Medicine Physician providers in Lafayette, LA

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