Individual provider Active NPI

Carol M Latzanich, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • East Stroudsburg, PA
National Provider Identifier
1598778029
Registry record updated Jan 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
SC003741-L Issued in PA
Practice address
175 E Brown St
Suite 110
East Stroudsburg, PA 18301-3098
Phone
(570) 424-1031
Fax
(570) 424-5086
NPI assigned
Aug 14, 2006
Last updated
Jan 1, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X SC003741-L PA Primary

Addresses

Primary practice location

175 E Brown St
Suite 110
East Stroudsburg, PA 18301-3098

Mailing address

175 E Brown St
Suite 110
East Stroudsburg, PA 18301-3098
Phone (570) 424-1031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100309000434 PA Practitioner - Podiatry 5597843086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pocono Podiatry AssociatesGroup PAC ID 8224009352, 2 clinicians

Practice addresses (Care Compare)

175 E Brown St
Suite 110
East Stroudsburg, PA 18301-3098
Phone (570) 424-1031

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
8.7 of 100Reported as individual
Quality
15
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue53
Removal of skin lesions16
Removal of nail tissue962
Removal or shaving of skin growth438

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC003741-LPAMDPrimary Podiatric Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pocono Podiatry Associates Primary Podiatric Medicine CurrentSince Aug 4, 1994 Accepting new patients

Locations

175 E Brown St
Ste 110
East Stroudsburg, PA 18301
Phone (570) 424-1031

100 Community Dr
Ste 206
Tobyhanna, PA 18466
Phone (570) 839-3668

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199145600000",
    "number": "1598778029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 E BROWN ST",
            "address_2": "SUITE 110",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183013098",
            "telephone_number": "570-424-1031",
            "fax_number": "570-424-5086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 E BROWN ST",
            "address_2": "SUITE 110",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183013098",
            "telephone_number": "570-424-1031",
            "fax_number": "570-424-5086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATZANICH",
        "first_name": "CAROL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2008-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "PA",
            "license": "SC003741-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Stroudsburg, PA

Sources for this page

Verify at the official NPI Registry.