NPIMap

Individual provider Active NPI

Ruth Christina Aurelia Latham, M.D.

  • Family Medicine Physician
  • Mechanicsville, VA
National Provider Identifier
1275712333
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101245954 Issued in VA
Practice address
8220 Meadowbridge Rd
Suite 203
Mechanicsville, VA 23116-2336
Phone
(804) 764-1253
Fax
(804) 764-1259
NPI assigned
Oct 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2007-01497 NC
Family Medicine Physician 207Q00000X 0101245954 VA Primary

Addresses

Primary practice location

8220 Meadowbridge Rd
Suite 203
Mechanicsville, VA 23116-2336

Mailing address

8220 Meadowbridge Rd
Suite 203
Mechanicsville, VA 23116-2336
Phone (804) 764-1253

Other identifiers 2

IdentifierTypeStateIssuer
1275712333MedicaidVA
C06115OtherVAGROUP PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100308000454 VA Practitioner - Family Practice 7214026186 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Virginia Commonwealth University, School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7229 Forest Ave
Suite 112
Richmond, VA 23226-3765

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2007-01497NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Memorial Regional Medical Center LLC CurrentSince May 1, 2013 Accepting new patients
Bon Secours - Memorial Regional Medical Center, Inc. CurrentSince May 1, 2013 Accepting new patients
Bon Secours Medical Group Richmond Primary Care LLC Family Medicine CurrentSince Jan 1, 2020 Accepting new patients
Bon Secours Memorial Regional Medical Center LLC Past Accepting new patients
Bon Secours Memorial Regional Medical Center Past Accepting new patients

Locations

8200 Meadowbridge Rd
#306
Mechanicsville, VA 23116
Phone (804) 764-1253

8200 Meadowbridge Rd
Ste 306
Mechanicsville, VA 23116
Phone (804) 764-1253

8220 Meadowbridge Rd
Ste 203
Mechanicsvlle, VA 23116
Phone (804) 226-2444

4630 S Laburnum Ave
Richmond, VA 23231
Phone (804) 226-2444

1362 Tappahannock Blvd
Tappahannock, VA 22560
Phone (804) 443-5378

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 and National Provider Directory roles.

Hospital & facility affiliations 9

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": "1193270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364342400000",
    "number": "1275712333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8220 MEADOWBRIDGE RD",
            "address_2": "SUITE 203",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162336",
            "telephone_number": "804-764-1253",
            "fax_number": "804-764-1259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8220 MEADOWBRIDGE RD",
            "address_2": "SUITE 203",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162336",
            "telephone_number": "804-764-1253",
            "fax_number": "804-764-1259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATHAM",
        "first_name": "RUTH",
        "middle_name": "CHRISTINA AURELIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-25",
        "last_updated": "2013-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2007-01497",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101245954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275712333",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "C06115",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

Verify at the official NPI Registry.