NPIMap

Individual provider Active NPI

Jason Lattin, M.D.

  • Surgery Physician
  • Soldotna, AK
National Provider Identifier
1811010630
Registry record updated Jul 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
7113 Issued in AK
Practice address
240 Hospital PL Ste 305
Soldotna, AK 99669-7559
Phone
(907) 714-4130
Fax
(844) 412-3946
NPI assigned
Apr 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD26612 OR
Surgery Physician 208600000X 7113 AK Primary

Addresses

Primary practice location

240 Hospital PL Ste 305
Soldotna, AK 99669-7559

Mailing address

289 N Fireweed St
Suite B
Soldotna, AK 99669-7540
Phone (907) 714-4130

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jlattin635778@ak.providencedirect.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110721000230 AK Practitioner - General Surgery 7911065123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Washington School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

240 Hospital PL
Soldotna, AK 99669-7559
Phone (907) 714-5312

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.44 of 100Reported as group
Quality
62.56
Promoting interoperability
81
Improvement activities
40
Cost
67.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy52
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux40
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7113AKMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Peninsula General Hospital Inc. Current Accepting new patients
Central Peninsula General Hospital, Inc CurrentSince May 8, 2011 Accepting new patients
Central Peninsula General Hospital CurrentSince May 8, 2011 Accepting new patients
North Star Medical Imaging PLLC Current Accepting new patients
Central Peninsula General Hospital Inc PastSince Jul 27, 2020 Accepting new patients
Central Peninsula General Hospital Inc PastSince Jul 27, 2020 Accepting new patients

Locations

240 Hospital Pl
Soldotna, AK 99669
Phone (907) 262-7762

289 N Fireweed St
Ste B
Soldotna, AK 99669
Phone (907) 420-3540

240 Hospital Pl
Ste 305
Soldotna, AK 99669
Phone (907) 714-4130

250 Hospital Pl
Soldotna, AK 99669
Phone (907) 714-4404

Interoperability endpoints

  • Direct secure messaging: jlattin635778@ak.providencedirect.org
  • Direct secure messaging: jlattin635771@ak.providencedirect.org

Organizations & group practices 6

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.

Hospital & facility affiliations 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1175990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1811010630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 N FIREWEED ST",
            "address_2": "SUITE B",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697540",
            "telephone_number": "907-714-4130",
            "fax_number": "907-260-3073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 HOSPITAL PL STE 305",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697559",
            "telephone_number": "907-714-4130",
            "fax_number": "844-412-3946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATTIN",
        "first_name": "JASON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-08",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OR",
            "license": "MD26612",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AK",
            "license": "7113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jlattin635778@ak.providencedirect.org",
            "affiliation": "N",
            "endpointDescription": "Provider direct messaging address",
            "address_1": "240 Hospital Pl Ste 305",
            "city": "Soldotna",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996697559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Soldotna, AK

Sources for this page

Verify at the official NPI Registry.