Active NPI
Gregory A Latchaw, M.D.
- Obstetrics & Gynecology Physician
- Loxahatchee, FL
National Provider Identifier
1215936471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME93571
- Practice address
- 12959 Palms West Dr
Suite 130
Loxahatchee, FL 33470-4937 - Phone
- (561) 793-5657
- Fax
- (561) 793-5608
- NPI assigned
- Jul 20, 2005
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | ME93571 | FL | Primary |
Addresses
Primary practice location
12959 Palms West Dr
Suite 130
Loxahatchee, FL 33470-4937
Mailing address
12959 Palms West Dr
Suite 130
Loxahatchee, FL 33470-4937
Phone (561) 793-5657
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304294400000",
"number": "1215936471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12959 PALMS WEST DR",
"address_2": "SUITE 130",
"city": "LOXAHATCHEE",
"state": "FL",
"postal_code": "334704937",
"telephone_number": "561-793-5657",
"fax_number": "561-793-5608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12959 PALMS WEST DR",
"address_2": "SUITE 130",
"city": "LOXAHATCHEE",
"state": "FL",
"postal_code": "334704937",
"telephone_number": "561-793-5657",
"fax_number": "561-793-5608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATCHAW",
"first_name": "GREGORY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-20",
"last_updated": "2011-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME93571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loxahatchee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.