Active NPI
Emily Agnes Latham, DVM
- Ophthalmology Physician
- Westfield, IN
National Provider Identifier
1124790183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 24008785A
- Practice address
- 14637 N Gray Rd
Westfield, IN 46062-9274 - Phone
- (317) 999-7873
- NPI assigned
- Sep 29, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 24008785A | IN | Primary |
Addresses
Primary practice location
14637 N Gray Rd
Westfield, IN 46062-9274
Mailing address
14637 N Gray Rd
Westfield, IN 46062-9274
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | jdavis@indyaec.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24008785A | IN | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632873600000",
"number": "1124790183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14637 N GRAY RD",
"city": "WESTFIELD",
"state": "IN",
"postal_code": "460629274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14637 N GRAY RD",
"city": "WESTFIELD",
"state": "IN",
"postal_code": "460629274",
"telephone_number": "317-999-7873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATHAM",
"first_name": "EMILY",
"middle_name": "AGNES",
"name_prefix": "Dr.",
"credential": "DVM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-29",
"last_updated": "2021-09-29",
"certification_date": "2021-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IN",
"license": "24008785A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "jdavis@indyaec.com",
"affiliation": "N",
"endpointDescription": "business email",
"address_1": "14637 N Gray Rd",
"city": "Westfield",
"state": "IN",
"country_code": "US",
"postal_code": "460629274",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Westfield, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.