Gary L Latimer, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC004100L Issued in PA

Practice address

267 Brooklyn St
Suite a
Carbondale, PA 18407-2836

Phone

(570) 282-1240

Fax

(570) 282-7937

NPI assigned

Nov 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Pioneer City Urgent Care LLC

  • Urgent Care Clinic/Center
  • Carbondale, PA
  • NPI 1295000982
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1487725115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 BROOKLYN ST",
            "address_2": "SUITE A",
            "city": "CARBONDALE",
            "state": "PA",
            "postal_code": "184072836",
            "telephone_number": "570-282-1240",
            "fax_number": "570-282-7937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 BROOKLYN ST",
            "address_2": "SUITE A",
            "city": "CARBONDALE",
            "state": "PA",
            "postal_code": "184072836",
            "telephone_number": "570-282-1240",
            "fax_number": "570-282-7937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATIMER",
        "first_name": "GARY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC004100L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD ID #",
            "identifier": "590360",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "2322827930",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Marie Kwiec, LCSW
• Cynthia La Greca, MS
• Victoria La Pere, COTAL
• Leah Kathryn Lafontaine, LSW
• Paul Erik Larson, ATC
• Lehigh Valley Physician Group
• Robert John Lengyel, MD
• Melissa Fay Lesjack, OTR/L
• Lincoln Ave Medical
• Danielle Lucas, M.ED, LBS, BC-ABA

• Chiropractor in Carbondale, PA
• Providers in Carbondale, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.