Active NPI
Charles P Lattuada Jr., MD
- Medical Oncology Physician
- Anniston, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- 18922
- Practice address
- 901 Leighton Ave
Suite 602
Anniston, AL 36207-5700 - Phone
- (256) 238-1011
- Fax
- (256) 238-4366
- NPI assigned
- Aug 11, 2005
- Last updated
- Aug 29, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 18922 | AL | |
| Medical Oncology Physician | 207RX0202X | 18922 | AL | Primary |
Addresses
Primary practice location
901 Leighton Ave
Suite 602
Anniston, AL 36207-5700
Mailing address
901 Leighton Ave
Suite 602
Anniston, AL 36207-5700
Phone (256) 238-1011
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 158742 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, AL
- 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
- Medical Oncology
- Education
- Uniformed Services Uhs Fe Hebert School of Med, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2000 Pepperell Pkwy
Opelika, AL 36801-5452
Phone (334) 528-3830
402 S 1St St
Gadsden, AL 35901-5358
Phone (256) 547-0536
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18922 | AL | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The East Alabama Health Care Authority | Current | Accepting new patients | |
| The East Alabama Health Care Authority | Current | Accepting new patients | |
| Tombigbee Healthcare Authority | Current | Accepting new patients | |
| Alabama Cancer Care, LLC | Current | Accepting new patients | |
| Tombigbee Healthcare Authority | Current | Accepting new patients | |
| Oncology Specialties, P.C. | Current | Accepting new patients | |
| Oncology Associates of Monroe | Past | Accepting new patients |
Locations
901 Leighton Ave
Ste 602
Anniston, AL 36207
Phone (256) 238-1011
1107 14th Ave SE
Ste 200
Decatur, AL 35601
Phone (256) 301-1601
105 US Highway 80 E
Demopolis, AL 36732
Phone (334) 287-2669
1608 Glenn Blvd SW
Fort Payne, AL 35968
Phone (256) 244-4150
3601 Cci Dr NW
Huntsville, AL 35805
Phone (256) 539-3824
2000 Pepperell Pkwy
Opelika, AL 36801
Phone (334) 364-3300
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.181001
- https://fhir-myrecord.cerner.com/r4/c5013bf3-ebba-4bda-8574-ed83da9e1633/
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hematology & Oncology Physician
- Gadsden, AL
- NPI 1447579644
-
dba East Alabama Medical Center
- General Acute Care Hospital
- Opelika, AL
- NPI 1073685483
-
dba Clearview Cancer Institute
- Hematology & Oncology Physician
- Huntsville, AL
- NPI 1669425716
-
dba Whitfield Regional Hospital
- Specialist
- Demopolis, AL
- NPI 1578690327
-
dba East Alabama Apothecary Store 1
- Community/Retail Pharmacy
- Opelika, AL
- NPI 1215089305
-
dba the Whit Family Clinic Linden
- Rural Health Clinic/Center
- Linden, AL
- NPI 1225682537
-
- Specialist
- Monroe, LA
- NPI 1730383803
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba DeKalb Regional Medical Center
- General Acute Care Hospital
- Fort Payne, AL
- NPI 1770344665
-
dba East Alabama Medical Center
- General Acute Care Hospital
- Opelika, AL
- NPI 1154386431
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567036800000",
"number": "1407858244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 LEIGHTON AVE",
"address_2": "SUITE 602",
"city": "ANNISTON",
"state": "AL",
"postal_code": "362075700",
"telephone_number": "256-238-1011",
"fax_number": "256-238-4366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 LEIGHTON AVE",
"address_2": "SUITE 602",
"city": "ANNISTON",
"state": "AL",
"postal_code": "362075700",
"telephone_number": "256-238-1011",
"fax_number": "256-238-4366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATTUADA",
"first_name": "CHARLES",
"middle_name": "P",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-11",
"last_updated": "2019-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "AL",
"license": "18922",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "AL",
"license": "18922",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "158742",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anniston, AL
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- Morgan Lambert, CRNP
- Lia Lampone, DMD
- Deeanna Alora Landers
- CHI CHI L Latta, CRNA
- Law Chiropractic Center Inc (Law Chiropractic Center)
- Christopher Hardin Law, D.C.
- Leaps and Bounds Pediatrictherapy Services, LLC
- Sue A. Legrand, CRNA
- Lenlock Clinic LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; 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.