MAX G LATHAM (NPI# 1477619898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477619898 |
| Entity Type | Individual |
| Full Name | MAX G LATHAM |
| Credential | MD |
| Practice Address |
211 Koonce Rd Bowie TX 76230-2354 |
| Practice Telephone | 9408728720 |
| Practice Fax Number | 9408724151 |
| Mailing Telephone | 9408728720 |
| Mailing Fax Number | 9408724151 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | D0942 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
211 KOONCE RD |
| City | BOWIE |
| State | TX |
| Zip Code | 76230-2354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134761117 | Christopher Penny | Physical Therapy Assistant | 700 Us-287, Bowie, TX 76230 | 2019-10-11 |
| 1306319975 | Nocona Hospital District | Clinic/Center | 108 E Boggess, Saint Jo, TX 76230 | 2019-01-07 |
| 1366926560 | Michael Pendley | Specialist/Technologist | 982 Bluffs Ave, Bowie, TX 76230 | 2018-09-24 |
| 1730662776 | Jennifer Arkfeld | Speech-Language Pathologist | 982 Bluffs St, Bowie, TX 76230 | 2018-09-14 |
| 1023519410 | Amanda Leigh Burkhardt | Licensed Vocational Nurse | 183 Hopson Rd, Bowie, TX 76230 | 2018-02-22 |
| 1174023626 | Brandy Lynn Karr | Licensed Vocational Nurse | 208 Decatur St., Bowie, TX 76230 | 2018-02-20 |
| 1013160654 | Tammy Elaine Nevins | Physical Therapy Assistant | 1101 Rock Street, Bowie, TX 76230 | 2008-10-28 |
| 1336362961 | Robert L St John | Dentist | 307 W Tarrant St, Suite C, Bowie, TX 76230 | 2007-04-11 |
| 1841320736 | Ryan A Laws | Dentist | 118 Lovers Lane, Bowie, TX 76230 | 2007-03-07 |
| 1326178096 | St Jo Texas Meals On Wheels, Inc. | Home Delivered Meals | 501 Pelham St., Bowie, TX 76230 | 2007-03-06 |
| Find all providers in zip 76230 | ||||
| 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 |
|---|---|---|---|---|
| 1104460773 | The Surgery Clinics LLC | Family Medicine | 14300 Gallant Fox Ln Ste 110, Bowie, MD 20715-4031 | 2019-11-06 |
| 1609436518 | Louisa Kanu | Family Medicine | 5711 Hillmeade Rd, Bowie, MD 20720-4665 | 2019-06-13 |
| 1467916437 | Kimberly Alicia Smith | Family Medicine | 4000 Mitchellville Rd Ste A308, Bowie, MD 20716-3135 | 2019-01-24 |
| 1770085029 | Healing Vessel Medical Associates LLC | Family Medicine | 14903 Dennington Dr, Bowie, MD 20721-3277 | 2018-03-02 |
| 1285182774 | Patient First Maryland Medical Group Pllc | Family Medicine | 15459 Annapolis Road, Bowie, MD 20715-1847 | 2016-09-14 |
| 1861719437 | Erica Davis Patton | Family Medicine | 504 N Mason St, Bowie, TX 76230-4231 | 2010-04-22 |
| 1265551592 | Lynn V. Yarborough | Family Medicine | 2905 Mitchellville Road, Suite 106, Bowie, MD 20716-3953 | 2007-03-28 |
| 1417067216 | Gerard P Champaloux Md | Family Medicine | 14300 Gallant Fox Lane, Suite 110, Bowie, MD 20715-4031 | 2006-08-30 |
| 1386638021 | Ranjit S Risam | Family Medicine | 3060 Mitchellville Rd, 210, Bowie, MD 20716-1389 | 2005-09-08 |
| 1861099541 | Privia Medical Group, LLC | Family Medicine | 14300 Gallant Fox Ln Ste 222, Bowie, MD 20715-4033 | 2020-10-06 |
| Find all providers in BOWIE | ||||
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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.