Active NPI
Patti D. Latschar, P.A.
- Physician Assistant
- Oklahoma City, OK
National Provider Identifier
1851442016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1014
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200104700A | Medicaid | OK |
Other names 1
- Patti D. Bart
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1014 | OK | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1447577804
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.