Dr. Sylvio Garrett Landry , MD

Physician • Wareham, MA

Deactivated NPI 1780612622 Deactivated in NPPES Male Practitioner

Practice location in NPPES

56 Sippican Rd
Wareham, MA 025711759

Phone: 5082910289

Location details and other listings

Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of November 25, 2020; the reason is not published. The records below are historical. They do not show whether Dr. Sylvio Landry currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date June 29, 2006

NPI Deactivation Date November 25, 2020

NPI Active Period 2006 – 2020

Practice Location & Contact Primary Location

Practice Address

56 Sippican Rd

Wareham, MA 025711759

Telephone 5082910289

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What Public CMS Data Show

These CMS figures cover limited populations and published records; they are not quality ratings or medical advice.

Physician: NPPES taxonomy is a reported classification, not proof of board certification.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Wareham and Massachusetts

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Clinic/Center - Health Service Primary Specialty

NUCC Taxonomy Code: 261QH0100X

License # reported to NPPES MA 39632

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Massachusetts Board of Registration in Medicine.

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Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events

⚠️

NPI Profile Deactivated November 25, 2020

NPPES lists this NPI as deactivated as of November 25, 2020; the reason is not published.

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Practice Location (Initial Record) July 08, 2007

Registered at 56 SIPPICAN RD, WAREHAM, MA 025711759 (Tel: 5082910289)

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Business Mailing Address (Initial Record) July 08, 2007

Registered at 56 SIPPICAN RD, WAREHAM, MA 025711759 (Tel: 5082910289)

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Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as SYLVIO LANDRY, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Clinic/Center (license number reported to NPPES: MA 39632)

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Initial NPI Registration & Enumeration June 29, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1780612622

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 29, 2006

Last Update: July 08, 2007

Deactivation Date: November 25, 2020

Update or Correct Profile

Mailing Address

56 Sippican Rd

Wareham, MA 025711759

Phone: 5082910289

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.