Active NPI
Peter C. Latkin MD PC
- Allergy & Immunology Physician
- Falls Church, VA
National Provider Identifier
1396987780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 0101023974
- Legal business name
- PETER C. LATKIN MD PC
- Practice address
- 6201 Leesburg Pike
#300
Falls Church, VA 22044 - Phone
- (703) 534-2445
- Fax
- (703) 538-5575
- NPI assigned
- Mar 31, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Peter C Latkin, MD, PC
- Title
- MD
- Phone
- (703) 534-2445
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 0101023974 | VA | Primary |
Addresses
Primary practice location
6201 Leesburg Pike
#300
Falls Church, VA 22044
Mailing address
6201 Leesburg Pike
#300
Falls Church, VA 22044
Phone (703) 534-2445
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6756166 | Medicaid | VA |
National Provider Directory
National Provider DirectoryLocations
6201 Leesburg Pike
Ste 300
Falls Church, VA 22044
Phone (703) 534-2445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238457600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1238457600000",
"number": "1396987780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6201 LEESBURG PIKE",
"address_2": "#300",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "22044",
"telephone_number": "703-534-2445",
"fax_number": "703-538-5575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6201 LEESBURG PIKE",
"address_2": "#300",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "22044",
"telephone_number": "703-534-2445",
"fax_number": "703-538-5575"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PETER C. LATKIN MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-31",
"last_updated": "2009-03-31",
"status": "A",
"authorized_official_last_name": "LATKIN",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "703-534-2445",
"authorized_official_credential": "MD, PC"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": "VA",
"license": "0101023974",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6756166",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.