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Active NPI 1104925734 Individual Practitioner Female Practitioner

Sandra C. Landry , PA-C

Physician Assistant • Providence, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Sandra Landry, PA-C is a certified Physician Assistant practicing in Providence, RI. With approximately 22 years of clinical experience since completing medical education in 2004, Sandra Landry delivers high-quality medical care to the local community at 593 EDDY ST.

Sandra Landry maintains professional affiliations with Rhode Island Hospital, Lifespan Physician Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include coronary artery bypass using artery graft, 1 graft, harvest of veins for coronary artery bypass procedure using an endoscope, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

593 Eddy St

Providence, RI 029034923

Telephone 4014447585
Associated Practice Facility / Clinic
🏢 Rhode Island Hospital Facility NPI 1588659528

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Providence, RI

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
22 Yrs +11.4 yrs vs City Avg
City Avg: 10.6 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
267 Specialists

Practicing in Providence, RI (687 Statewide)

Telehealth Adoption Rate
16.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
95.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Landry (22 Years) 22 Yrs
Providence Specialty Average (10.6 Years) 10.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
33533 Coronary artery bypass using artery graft, 1 graft
11 11 $4545.00 $212.47
33508 Harvest of veins for coronary artery bypass procedure using an endoscope
11 11 $40.00 $2.10

Medical Specialties & State Licenses

CMS Verified: 2025-11-10
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License RI PA01050

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
110107462A (MA)
Medicaid State Provider ID
3139529 (NH)

Hospital & Practice Group Affiliations

Lifespan Physician Group Inc

185 A High Service Ave, North Providence, RI 029045114

Phone: 4013546050

Rhode Island Hospital

593 Eddy St, Providence, RI 029034923

Lifespan Physician Group Inc

2 Dudley St, Providence, RI 029053248

Phone: 4012721800

Lifespan Physician Group Inc

185 High Service Ave, North Providence, RI 029045114

Phone: 4013546050

Secondary Practice Locations

2 Dudley St

Providence, RI 029053236

Phone: 4014445891

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
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Physician Assistant

NPI 1174725360

Physician Assistant

Machel Charles , PA

Physician Assistant

NPI 1356072607

Physician Assistant

Carla Salvadore , APRN

Nurse Practitioner - Acute Care

NPI 1366920217

Advanced Practice Registered Nurse

Victoria Miller , PA-C

Physician Assistant

NPI 1376745554

Physician Assistant (Certified)

Eric Swanson , PA

Physician Assistant

NPI 1508068701

Physician Assistant

Sherry Walters , RNP

Nurse Practitioner

NPI 1639436819

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2024

Physician Assistant (License #PA01050 in RI)

📍
Updated Practice Location January 30, 2023

Registered at 593 EDDY ST, PROVIDENCE, RI 029034923 (Tel: 4014447585)

📍
Updated Practice Location April 22, 2020

Registered at 363 HIGHLAND AVE, FALL RIVER, MA 027203703 (Tel: 5089737018)

NPI Profile Active March 28, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location March 28, 2014

Registered at 300 HANOVER STREET, SUITE 2A, FALL RIVER, MA 02720 (Tel: 5086797774)

📍
Updated Business Mailing Address March 28, 2014

Registered at 200 MILL RD, SUITE 180, FAIRHAVEN, MA 027195252 (Tel: 5089732000)

👤
Provider Name / Credentials Updated March 28, 2014

Recorded as SANDRA LANDRY, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2014

Physician Assistant (License #PA1865 in MA)

🟢
Initial NPI Registration & Enumeration September 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104925734
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 21, 2006
Last Update: November 10, 2025
Sole Proprietor: No

Mailing Address

200 Mill Rd, Suite 180

Fairhaven, MA 027195252

Phone: 5089732000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.