PAUL LATZKO (NPI# 1346253796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346253796 |
| Entity Type | Individual |
| Full Name | PAUL LATZKO |
| Credential | MD |
| Practice Address |
103 West Ave Wellsboro PA 16901-1358 |
| Practice Telephone | 5707241010 |
| Practice Fax Number | 5707243970 |
| Mailing Telephone | 5707241010 |
| Mailing Fax Number | 5707243970 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2011-10-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD029391E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 001137510 | 05 |
| Street Address |
103 WEST AVE |
| City | WELLSBORO |
| State | PA |
| Zip Code | 16901-1358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366435653 | North Central Penn Podiatry PC | Podiatrist | 103 West Ave, Wellsboro, PA 16901-1358 | 2005-08-23 |
| 1487130753 | Judith Tubbs | Nurse Practitioner | 103 West Ave, Wellsboro, PA 16901-1358 | 2018-07-19 |
| 1316355696 | Olivia Mays | Nurse Practitioner | 103 West Ave, Wellsboro, PA 16901-1358 | 2014-07-30 |
| 1063851194 | Tioga Health Care Providers, Inc | Hospitalist | 103 West Ave, Wellsboro, PA 16901-1358 | 2013-06-21 |
| 1174839849 | Christopher Anthony Domarew | Internal Medicine | 103 West Ave, Wellsboro, PA 16901-1358 | 2010-08-19 |
| 1457556862 | Walter John Laibinis Jr. | Internal Medicine | 103 West Ave, Wellsboro, PA 16901-1358 | 2007-06-15 |
| 1043392020 | North Penn Comprehensive Health Services | Clinic/Center | 103 West Ave, Wellsboro Laurel Health Center, Wellsboro, PA 16901-1358 | 2006-10-19 |
| 1447263462 | Daria Helena Lin-guelig | Physician Assistant | 103 West Ave, Wellsboro Laurel Health Center, Wellsboro, PA 16901-1358 | 2006-08-14 |
| 1861405912 | Karen Usavage | Nurse Practitioner | 103 West Ave, Wellsboro Laurel Health Center, Wellsboro, PA 16901-1358 | 2006-08-13 |
| 1245270180 | James Edward Manning Iv | Psychiatry & Neurology | 103 West Ave, Wellsboro, PA 16901-1358 | 2006-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053964940 | Alyssa Lapp | Occupational Therapist | 32 Central Avenue, Wellsboro, PA 16901 | 2019-07-19 |
| 1437701190 | Kari Donnele Root | Occupational Therapist | 36 Central Avenue, Wellsboro, PA 16901 | 2019-07-12 |
| 1205377835 | Brett Long | Physical Therapy Assistant | 37 Central Avenue, Wellsboro, PA 16901 | 2017-03-15 |
| 1487072526 | Mary Caitlin Jones | Physical Therapist | 100 Plaza Ln, Wellsboro, PA 16901 | 2014-04-05 |
| 1144650607 | Amy Chalot | Occupational Therapy Assistant | 1883 Shumway Hill Road, Broad Acres Health and Rehabilitation Center, Wellsboro, PA 16901 | 2013-11-20 |
| 1780844209 | Upmc Wellsboro | Pathology | 32 36 Central Avenue, Pathology, Wellsboro, PA 16901 | 2008-06-10 |
| 1639369606 | Well Adjusted Chiropractic Center PC | Chiropractor | 82 East Avenue, Wellsboro, PA 16901 | 2007-07-26 |
| 1538362991 | John W Eaton | Dentist | 23 Water Street, Wellsboro, PA 16901 | 2007-06-06 |
| 1437210242 | James Michael Stewart | Technician/Technologist | 16 Pearl St, Wellsboro, PA 16901 | 2006-12-13 |
| 1508879560 | Edward Jeffrey Candela | Dentist | 16 Water St, Wellsboro, PA 16901 | 2006-08-14 |
| Find all providers in zip 16901 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194006114 | William A Coolidge | Family Medicine | 6770 Route 287, Wellsboro, PA 16901-6708 | 2011-09-03 |
| 1821266537 | Ivan T. Brechbill | Family Medicine | 320 S Callahan Rd, Wellsboro, PA 16901-7821 | 2008-02-15 |
| 1417920398 | David A. Pfisterer | Family Medicine | 110 Plaza Ln, Wellsboro, PA 16901-1773 | 2006-02-10 |
| 1194797100 | Lee C. Meyers | Family Medicine | 7 Water St, Wellsboro, PA 16901-1126 | 2006-02-03 |
| 1003107442 | Koryn Amanda Johnston | Family Medicine | 110 Plaza Ln, Wellsboro, PA 16901-1773 | 2011-04-19 |
| 1679586796 | Victor Paul Becker | Family Medicine | 7 Water St, Wellsboro Laurel Health Center, Wellsboro, PA 16901-1126 | 2006-08-14 |
| 1801809975 | Edmund P Guelig | Family Medicine | 7 Water St, Wellsboro Laurel Health Center, Wellsboro, PA 16901-1126 | 2006-08-13 |
| 1710990874 | Donald John Sweeney | Family Medicine | 7 Water St, Wellsboro Laurel Health Center, Wellsboro, PA 16901-1126 | 2006-08-13 |
| 1699742387 | Lisa Lynnelle Harpst | Family Medicine | 110 Plaza Ln, Wellsboro, PA 16901-1773 | 2006-03-02 |
| 1164497004 | John Patrick Doty | Family Medicine | 7 Water St, Wellsboro, PA 16901-1126 | 2006-02-22 |
| Find all providers in WELLSBORO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.