Individual provider Active NPI

Angela C Latham, MD

  • Family Medicine Physician
  • Denison, TX
National Provider Identifier
1235188053
Registry record updated Jan 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J6007 Issued in TX
Practice address
5012 S US Highway 75
Suite 225
Denison, TX 75020-4587
Phone
(903) 416-6025
Fax
(903) 416-6195
NPI assigned
May 9, 2006
Last updated
Jan 26, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X J6007 TX Primary

Addresses

Primary practice location

5012 S US Highway 75
Suite 225
Denison, TX 75020-4587

Mailing address

5012 S US Highway 75 Ste 300
Attn Billing
Denison, TX 75020-4589
Phone (903) 416-6025

Other identifiers 1

IdentifierTypeStateIssuer
116416202MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041119000396 TX Practitioner - Family PracticePractitioner - Emergency Medicine 7416911300 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Texas a & M University System, HSC, College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
TexomacareGroup PAC ID 3678555307, 47 clinicians
Greater Texoma Health ClinicGroup PAC ID 3971650318, 5 clinicians

Practice addresses (Care Compare)

2907 Overland TRL
Suite 200
Sherman, TX 75092-4498
Phone (903) 892-1005

5012 S US Hwy 75
Denison, TX 75020-4587

5012 S US Hwy 75
Suite 225
Denison, TX 75020-4636
Phone (903) 416-6025

5012 S US Hwy 75
Suite 300
Denison, TX 75020-4589
Phone (903) 416-6015

900 N Armstrong
Denison, TX 75020-2230

900 N Armstrong Ave
Denison, TX 75020-2230
Phone (903) 465-2440

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions34
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Texoma Health Clinic Family Medicine CurrentSince May 10, 2010 Accepting new patients
Texomacare Family Medicine CurrentSince Oct 10, 1994 Accepting new patients
Texomacare Family Medicine CurrentSince Oct 10, 1994 Accepting new patients
Center for Family Medicine,PA Family Medicine Past Accepting new patients
Uhs of Texoma, Inc Past Accepting new patients

Locations

5012 US Highway 75
Denison, TX 75020
Phone (903) 416-1726

5012 US Highway 75
Ste 100
Denison, TX 75020
Phone (903) 416-6325

5012 US Highway 75
Ste 225
Denison, TX 75020
Phone (903) 416-6025

5012 US Highway 75
Ste 300
Denison, TX 75020
Phone (903) 416-6025

900 N Armstrong Ave
Denison, TX 75020
Phone (903) 465-2440

Interoperability endpoints

  • Direct secure messaging: angela.latham@tc.eclinicaldirectplus.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516924800000",
    "number": "1235188053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5012 S US HIGHWAY 75 STE 300",
            "address_2": "ATTN BILLING",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204589",
            "telephone_number": "903-416-6025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5012 S US HIGHWAY 75",
            "address_2": "SUITE 225",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204587",
            "telephone_number": "903-416-6025",
            "fax_number": "903-416-6195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATHAM",
        "first_name": "ANGELA",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2018-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J6007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116416202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denison, TX

Sources for this page

Verify at the official NPI Registry.