Active NPI
William Howard Latham Jr., D.P.M.
- Primary Podiatric Medicine Podiatrist
- Ashland, OH
National Provider Identifier
1710946751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- 36.002437
- Practice address
- 910 Katherine Ave
Suite C
Ashland, OH 44805-3692 - Phone
- (419) 281-7941
- Fax
- (419) 289-1534
- NPI assigned
- Mar 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 36.002437 | OH | Primary |
Addresses
Primary practice location
910 Katherine Ave
Suite C
Ashland, OH 44805-3692
Mailing address
910 Katherine Ave
Suite C
Ashland, OH 44805-3692
Phone (419) 281-7941
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0906550001 | Other | OH | MEDICARE NCS |
| 0625774 | Other | OH | PTAN |
| 0742496 | Medicaid | OH | |
| 480013191 | Other | OH | RAILROAD MEDICARE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343952000000",
"number": "1710946751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 KATHERINE AVE",
"address_2": "SUITE C",
"city": "ASHLAND",
"state": "OH",
"postal_code": "448053692",
"telephone_number": "419-281-7941",
"fax_number": "419-289-1534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 KATHERINE AVE",
"address_2": "SUITE C",
"city": "ASHLAND",
"state": "OH",
"postal_code": "448053692",
"telephone_number": "419-281-7941",
"fax_number": "419-289-1534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATHAM",
"first_name": "WILLIAM",
"middle_name": "HOWARD",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-20",
"last_updated": "2012-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "OH",
"license": "36.002437",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NCS",
"identifier": "0906550001",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "0625774",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0742496",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE #",
"identifier": "480013191",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ashland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.