Active NPI
Jeffrey F Latham, MD
- Cardiovascular Disease Physician
- Woonsocket, RI
National Provider Identifier
1891793196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD05050
- Practice address
- 68 Cumberland St
Sutie 103
Woonsocket, RI 02895-3323 - Phone
- (401) 762-3838
- Fax
- (401) 762-8252
- NPI assigned
- Jul 11, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD05050 | RI | Primary |
Addresses
Primary practice location
68 Cumberland St
Sutie 103
Woonsocket, RI 02895-3323
Mailing address
68 Cumberland St
Sutie 103
Woonsocket, RI 02895-3323
Phone (401) 762-3838
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7003889 | Medicaid | RI |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD05050 | RI | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rhode Island Cardiovascular Group | Cardiovascular Disease | 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.
-
- Cardiovascular Disease Physician
- Woonsocket, RI
- NPI 1568495232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197244800000",
"number": "1891793196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68 CUMBERLAND ST",
"address_2": "SUTIE 103",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028953323",
"telephone_number": "401-762-3838",
"fax_number": "401-762-8252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68 CUMBERLAND ST",
"address_2": "SUTIE 103",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028953323",
"telephone_number": "401-762-3838",
"fax_number": "401-762-8252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATHAM",
"first_name": "JEFFREY",
"middle_name": "F",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-11",
"last_updated": "2007-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "RI",
"license": "MD05050",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7003889",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woonsocket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.