Max Lataillade, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

042704 Issued in CT

Practice address

5 Perryridge Rd
Greenwich, CT 06830-4608

Phone

(203) 863-3685

Fax

(203) 863-4738

NPI assigned

Aug 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

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.

• Fairfield County Medical Services Inc

  dba Norwalk Hospital Physicians and Surgeons

  • Specialist
  • Norwalk, CT
  • NPI 1134178577

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245346824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PERRYRIDGE RD",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068304608",
            "telephone_number": "203-863-3685",
            "fax_number": "203-863-4738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PERRYRIDGE RD",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068304608",
            "telephone_number": "203-863-3685",
            "fax_number": "203-863-4738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATAILLADE",
        "first_name": "MAX",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "042704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Lane, LMSW
• Roni Lang, L.C.S.W.
• Ruth Laramee
• Melissa Lucy Larusso, DO
• Lisa Lasorsa, RD LAC
• Linda Latrenta, M.D.
• Kwok Lau
• Sarah Olivia Lauerance, OTR/L
• Debra Ann Lawlor, L.C.S.W.
• Karyn Lawrence-Vivier, LCSW

• Internal Medicine Physician in Greenwich, CT
• Providers in Greenwich, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.