Individual provider Active NPI

Patti D. Latschar, P.A.

  • Physician Assistant
  • Oklahoma City, OK
National Provider Identifier
1851442016
Registry record updated Oct 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1014 Issued in OK
Practice address
3212 SW 89TH St
Suite 100
Oklahoma City, OK 73159-7956
Phone
(405) 378-3000
Fax
(405) 378-7477
NPI assigned
Jan 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1014 OK Primary

Addresses

Primary practice location

3212 SW 89TH St
Suite 100
Oklahoma City, OK 73159-7956

Mailing address

10601 S May Ave
Ste 12
Oklahoma City, OK 73170-2500
Phone (405) 703-4676

Other identifiers 1

IdentifierTypeStateIssuer
200104700AMedicaidOK

Other names 1

  • Patti D. Bart Former name

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
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1014OKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Retail Clinics, LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286409600000",
    "number": "1851442016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10601 S MAY AVE",
            "address_2": "STE 12",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731702500",
            "telephone_number": "405-703-4676",
            "fax_number": "405-703-4677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212 SW 89TH ST",
            "address_2": "SUITE 100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731597956",
            "telephone_number": "405-378-3000",
            "fax_number": "405-378-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATSCHAR",
        "first_name": "PATTI",
        "middle_name": "D.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2010-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "1014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200104700A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATTI",
            "last_name": "BART",
            "middle_name": "D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; 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.