Active NPI
William L Latimer, PA-C
- Physician Assistant
- Bloomington, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 2605 E Creeks Edge Dr
Bloomington, IN 47401-8368 - Phone
- (812) 355-2300
- NPI assigned
- Jan 26, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
2605 E Creeks Edge Dr
Bloomington, IN 47401-8368
Mailing address
2605 E Creeks Edge Dr
Bloomington, IN 47401-8368
Phone (812) 333-1933
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
2605 E Creeks Edge Dr
Indiana University So in Phy Inc
Bloomington, IN 47401-8368
Phone (888) 484-3258
707 W 2ND St
Bloomington, IN 47403-2209
Phone (888) 484-3258
719 W 2ND St
Bloomington, IN 47403-2209
Phone (888) 484-3258
727 W 2ND St
Bloomington, IN 47403-2209
Phone (888) 484-3258
Hospital & facility affiliations
- Indiana University Health Bloomington Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana University Health Southern Indiana Physicians LLC | Current | Accepting new patients | |
| Indiana University Health Southern Indiana Physicians, LLC | Physician Assistant | Current | Accepting new patients |
| Iu Health Medical Group, LLC | Physician Assistant | Current | Accepting new patients |
| Indiana Heart Associates PC | Past | Accepting new patients |
Locations
2742 Solution Ctr
Chicago, IL 60677
727 W 2nd St
Bloomington, IN 47403
Phone (812) 353-3450
2605 E Creeks Edge Dr
Bloomington, IN 47401
Phone (812) 333-2663
2651 E Discovery Pkwy
Bloomington, IN 47408
Phone (812) 353-9147
583 S Clarizz Blvd
Bloomington, IN 47401
Phone (812) 333-2663
550 S Landmark Ave
Bloomington, IN 47403
Phone (812) 330-3688
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
1500 N Ritter Ave
Indianapolis, IN 46219
Phone (317) 355-5041
2209 John R Wooden Dr
Martinsville, IN 46151
Phone (765) 342-3364
103 Willow St
Nashville, IN 47448
Phone (812) 988-2231
Interoperability endpoints
- william.latimer.1@7598.direct.athenahealth.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Bloomington, IN
- NPI 1013953983
Physician Assistant
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
Physician Assistant
-
- Durable Medical Equipment & Medical Supplies
- Bloomington, IN
- NPI 1063179844
-
- Cardiovascular Disease Physician
- Indianapolis, IN
- NPI 1992821631
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bloomington, IN
- NPI 1205860335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591660800000",
"number": "1003962762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2605 E CREEKS EDGE DR",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474018368",
"telephone_number": "812-333-1933",
"fax_number": "812-333-3991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2605 E CREEKS EDGE DR",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474018368",
"telephone_number": "812-355-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATIMER",
"first_name": "WILLIAM",
"middle_name": "L",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-26",
"last_updated": "2020-06-09",
"certification_date": "2020-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.