Samuel Latham II, M.D.

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

30983 Issued in MS

Practice address

100 Baptist Memorial Cir Ste 201
Oxford, MS 38655-4476

Phone

(901) 271-1000

Fax

(901) 271-4187

NPI assigned

May 10, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, MS2 enrollments

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 2

Specialty

Interventional Cardiology

Education

University of Tennessee, HSC, College of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stern Cardiovascular Center, PAGroup PAC ID 2860390275, 126 clinicians

Stern Cardiovascular Foundation, IncGroup PAC ID 8123200540, 111 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Memorial Hospital North Ms Hospital, Oxford, MS, CCN 250034
• Baptist Memorial Hospital Union County Hospital, New Albany, MS, CCN 250006
• Yalobusha General Hospital Hospital, Water Valley, MS, CCN 250061
• University of Mississippi Medical Center- Grenada Hospital, Grenada, MS, CCN 250168
• Highland Hills Medical Center Hospital, Senatobia, MS, CCN 250172

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: samuellatham@stern.allscriptsdirect.net

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.

• Stern Cardiovascular Center, PA

  • Cardiovascular Disease Physician
  • Germantown, TN
  • NPI 1699790311

  MS

  Medicare reassignment Care Compare group NPD
• Stern Cardiovascular Foundation, Inc

  • Cardiovascular Disease Physician
  • Germantown, TN
  • NPI 1316242266

  MS

  Medicare reassignment Care Compare group NPD
• Southeastern Physician Services PC

  • Hospitalist Physician
  • Oak Ridge, TN
  • NPI 1083835441

  Internal Medicine

  Medicare reassignment NPD
• Baptist Memorial Hospital North Mississippi, Inc

  • General Acute Care Hospital
  • Oxford, MS
  • NPI 1053375576
  NPD (past)

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

• Baptist Memorial Hospital North Mississippi, Inc

  • General Acute Care Hospital
  • Oxford, MS
  • NPI 1053375576
  Care Compare affiliation
• Baptist Memorial Hospital Union County, Inc.

  • General Acute Care Hospital
  • New Albany, MS
  • NPI 1780648352
  Care Compare affiliation
• State of Mississippi-University of Mississippi Medical Center

  • Psychiatric Hospital
  • Grenada, MS
  • NPI 1083041917
  Care Compare affiliation
• State of Mississippi-University of Mississippi Medical Center

  • General Acute Care Hospital
  • Grenada, MS
  • NPI 1558798603
  Care Compare affiliation
• Tate County Hospital

  • General Acute Care Hospital
  • Senatobia, MS
  • NPI 1619676251
  Care Compare affiliation
• Tate County Hospital

  • Family Medicine Physician
  • Sarah, MS
  • NPI 1669349502

  Hospital

  Care Compare affiliation
• Yalobusha General Hospital

  • General Acute Care Hospital
  • Water Valley, MS
  • NPI 1649397308
  Care Compare affiliation

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1740636729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8060 WOLF RIVER BLVD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381727",
            "telephone_number": "901-271-1000",
            "fax_number": "901-271-4187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BAPTIST MEMORIAL CIR STE 201",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386554476",
            "telephone_number": "901-271-1000",
            "fax_number": "901-271-4187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATHAM",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-10",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "59941",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MS",
            "license": "30983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Lane, LPN
• Charles Allen Laney, MD
• Julia Langevin, MSW
• Odalys Estefania Lara Garcia, MD
• Marketa Larry, M.S. PSYCHOLOGY
• John F Laurenzo, M.D.
• Alisha Lawrence, BA
• Jeremy S. Lawrence, CRNA
• William Keith Lawrence, MD
• Allison Boyd Layton, LPC

• Interventional Cardiology Physician in Oxford, MS
• Providers in Oxford, MS by specialty
• Interventional Cardiology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.

Verify at the official NPI Registry.