| 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 | 
|---|---|
| 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 | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1740251248 PECOS PAC ID: 6901701135 Enrollment ID: O20031202000054 | 
| Entity Name | Wilson Anesthesia Associates, Llc | 
|---|---|
| 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 | 
|---|---|
| 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 | 
|---|---|
| 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: Medicare Enrolled Practice Location: 2817 Rock Merritt Avenue, Fort Liberty, NC 28310 Phone: 910-907-6036 | |
| Allison Paige Martin,  Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2817 Rock Merritt Ave, Fort Liberty, NC 28310 Phone: 336-529-0348 | |
| 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 | |
| Mr. Kristoffer Villamin, 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 | |
| Hannah Hawkinson Melkun, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2817 Rock Merritt Ave, Fort Liberty, NC 28310 Phone: 910-907-8922 | |
| Dr. Thomas Gerald Baughan Ii, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2817 Rock Merritt Ave, Fort Liberty, NC 28310 Phone: 910-907-8922 Fax: 910-907-6069 |