Individual provider Active NPI

Lonniejay Latimer, M.D.

  • General Practice Physician
  • La Porte, TX
National Provider Identifier
1437466562
Registry record updated Apr 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
N7448 Issued in TX
Practice address
1309 W Fairmont Pkwy
Suite X
La Porte, TX 77571-6134
Phone
(281) 470-0543
Fax
(281) 842-7621
NPI assigned
Sep 10, 2010
Last updated
Apr 18, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X N7448 TX
General Practice Physician 208D00000X N7448 TX Primary

Addresses

Primary practice location

1309 W Fairmont Pkwy
Suite X
La Porte, TX 77571-6134

Mailing address

1309 W Fairmont Pkwy
Suite X
La Porte, TX 77571-6134
Phone (281) 470-0543

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180814000442 TX Practitioner - General Practice 6204185903 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
University of Texas Medical School at Houston, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

12345 Katy Fwy
Houston, TX 77079-1503
Phone (281) 679-5600

4025 S Padre Island Dr
Corpus Christi, TX 78411-4420
Phone (361) 852-8255

408 N Valley Mills Dr
Suite 408F
Waco, TX 76710-7000
Phone (254) 523-3622

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care, P.a. Current Accepting new patients

Locations

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

4025 Spid Dr
Corpus Christi, TX 78411
Phone (361) 852-8255

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366243200000",
    "number": "1437466562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 W FAIRMONT PKWY",
            "address_2": "SUITE X",
            "city": "LA PORTE",
            "state": "TX",
            "postal_code": "775716134",
            "telephone_number": "281-470-0543",
            "fax_number": "281-842-7621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 W FAIRMONT PKWY",
            "address_2": "SUITE X",
            "city": "LA PORTE",
            "state": "TX",
            "postal_code": "775716134",
            "telephone_number": "281-470-0543",
            "fax_number": "281-842-7621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATIMER",
        "first_name": "LONNIEJAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-10",
        "last_updated": "2013-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "TX",
            "license": "N7448",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "N7448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Porte, TX

Sources for this page

Verify at the official NPI Registry.