Organization Active NPI

Peter C. Latkin MD PC

  • Allergy & Immunology Physician
  • Falls Church, VA
National Provider Identifier
1396987780
Registry record updated Mar 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
0101023974 Issued in VA
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

Updated by the provider on Mar 31, 2009

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)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
6756166MedicaidVA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.