Active NPI
Ekaterina Latycheva, M.D.
- Internal Medicine Physician
- Sayre, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD455654
- Practice address
- 1 Guthrie SQ
Sayre, PA 18840-1625 - Phone
- (570) 887-6699
- Fax
- (570) 887-5672
- NPI assigned
- Jun 22, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD455654 | PA | Primary |
Addresses
Primary practice location
1 Guthrie SQ
Sayre, PA 18840-1625
Mailing address
245 N 15TH St
Philadelphia, PA 19102-1101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4700 Waters Ave
Savannah, GA 31404-6220
Phone (912) 350-8000
Hospital & facility affiliations
- Savannah Health Services LLC Dba Memorial Health University Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cogent Healthcare of Georgia PC | Internal Medicine | Current | Accepting new patients |
| Guthrie Medical Group, P.C. | Internal Medicine | Current | Accepting new patients |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Pottstown Clinic Company LLC | Internal Medicine | Current | Accepting new patients |
| Tower Health Medical Group | Current | Accepting new patients | |
| Guthrie Medical Group, P.C. | Internal Medicine | Current | Accepting new patients |
| Tower Health Medical Group | Internal Medicine | Current | Accepting new patients |
| Tower Health Medical Group | Current | Accepting new patients | |
| Savannah Health Services, LLC | Past | Accepting new patients |
Locations
1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500
4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100
1600 E High St
Pottstown, PA 19464
Phone (610) 327-7485
730 S Hanover St
Pottstown, PA 19465
Phone (610) 323-6835
1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106
201 Reeceville Rd
West Brandywine, PA 19320
Phone (215) 788-2285
301 S 7th Ave
Ste 130
West Reading, PA 19611
Phone (610) 988-4630
420 S 5th Ave
West Reading, PA 19611
Phone (484) 628-3637
2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127
120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040
Organizations & group practices 10
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.
-
- Internal Medicine Physician
- Macon, GA
- NPI 1609827823
-
- Hospitalist Physician
- Savannah, GA
- NPI 1891653655
-
- Family Medicine Physician
- Athens, PA
- NPI 1962451153
-
- Family Medicine Physician
- Pottstown, PA
- NPI 1649341934
Internal Medicine
-
- Internal Medicine Physician
- Birdsboro, PA
- NPI 1609291350
-
- Internal Medicine Physician
- Sayre, PA
- NPI 1962454439
-
- Neonatal-Perinatal Medicine Physician
- West Reading, PA
- NPI 1679843288
-
- Surgery Physician
- Wyomissing, PA
- NPI 1831954353
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1053824292
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1053824292
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440979200000",
"number": "1326301367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 N 15TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191021101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 GUTHRIE SQ",
"city": "SAYRE",
"state": "PA",
"postal_code": "188401625",
"telephone_number": "570-887-6699",
"fax_number": "570-887-5672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATYCHEVA",
"first_name": "EKATERINA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-22",
"last_updated": "2015-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD455654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sayre, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.