Individual provider Active NPI

Clifton A Latting, M.D.

  • Cardiovascular Disease Physician
  • Birmingham, AL
National Provider Identifier
1861400533
Registry record updated May 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
8248 Issued in AL
Practice address
1517 19TH Street Ensley
Birmingham, AL 35218-2049
Phone
(205) 785-0055
Fax
(205) 780-5223
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 8248 AL Primary

Addresses

Primary practice location

1517 19TH Street Ensley
Birmingham, AL 35218-2049

Mailing address

1517 19TH Street Ensley
Birmingham, AL 35218-2049
Phone (205) 785-0055

Other identifiers 3

IdentifierTypeStateIssuer
000000766MedicaidAL
051000766OtherALBCBS #
110030732OtherALRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080312000651 AL Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 1951486075 Practice locations: Birmingham, AL

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274745600000",
    "number": "1861400533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 19TH STREET ENSLEY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352182049",
            "telephone_number": "205-785-0055",
            "fax_number": "205-780-5223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 19TH STREET ENSLEY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352182049",
            "telephone_number": "205-785-0055",
            "fax_number": "205-780-5223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATTING",
        "first_name": "CLIFTON",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2010-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AL",
            "license": "8248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000000766",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS #",
            "identifier": "051000766",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110030732",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.