Wiley J Latham MD and Bernice G Latham MD Partners

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101023261 Issued in VA

Legal business name

WILEY J LATHAM MD AND BERNICE G LATHAM MD PARTNERS

Practice address

505 West Leigh St
Suite 301
Richmond, VA 23220

Phone

(804) 780-3008

Fax

(804) 780-3014

NPI assigned

Aug 31, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Wiley Jacob Latham III, MD

Title

Partner

Phone

(804) 780-3008

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Latham and Latham MDs Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bernice Grant Latham, MD

  • Family Medicine Physician
  • Richmond, VA
  • NPI 1790798544
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349049600000",
    "number": "1144332727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15483",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232270000",
            "telephone_number": "804-780-3008",
            "fax_number": "804-780-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 WEST LEIGH ST",
            "address_2": "SUITE 301",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23220",
            "telephone_number": "804-780-3008",
            "fax_number": "804-780-3014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILEY J LATHAM MD AND BERNICE G LATHAM MD PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-10-01",
        "status": "A",
        "authorized_official_last_name": "LATHAM",
        "authorized_official_first_name": "WILEY",
        "authorized_official_middle_name": "JACOB",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "804-780-3008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101023261",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VA",
            "license": "0101023313",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5671051",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6071066",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Latham and Latham MDs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Glen R Wilensky, DPM
• Hillary Wiles-Lafayette
• Anita M Wiles, LCSW, COTP
• Laura Kaitlin Wiles, DPT
• Veronica Leigh Wiles, OT/L
• Ana Snow Wiley, AGPCNP
• Ashley Wiley, WHNP-BC, PMHNP-BC
• Ethan Richard Wiley I
• Paul Marshall Wiley, DDS, MS, MED
• Don E Wilhelm, LCSW

• Family Medicine Physician in Richmond, VA
• Providers in Richmond, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.