DR. WILLIAM R LATREILLE JR. (NPI# 1508885716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508885716 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM R LATREILLE JR. |
| Credential | M.D. |
| Practice Address |
412 State Route 37 Hogansburg NY 13655 |
| Mailing Address |
412 State Route 37 Hogansburg NY 13655-3109 |
| Practice Telephone | 5183583141 |
| Mailing Telephone | 5183583141 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2012-03-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 142278 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
412 STATE ROUTE 37 |
| City | HOGANSBURG |
| State | NY |
| Zip Code | 13655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730675190 | Mary M Herne | Registered Nurse | 412 State Route 37, Hogansburg, NY 13655-3109 | 2018-07-09 |
| 1962991430 | Jesalyn Marie Hayes | Registered Nurse | 412 State Route 37, Hogansburg, NY 13655 | 2018-05-09 |
| 1225486947 | Song Yong Park | Dentist | 412 State Route 37, Hogansburg, NY 13655-3109 | 2016-06-03 |
| 1093127615 | Alyssa N Moore | Physician Assistant | 412 State Route 37, Hogansburg, NY 13655-3109 | 2014-06-02 |
| 1699087171 | Wendy L Frank | Nurse Practitioner | 412 State Route 37, St. Regis Mohawk Tribe, Hogansburg, NY 13655-3109 | 2010-07-13 |
| 1538247580 | Michael William Lynch | Pediatrics | 412 State Route 37, Hogansburg, NY 13655 | 2006-11-01 |
| 1801856398 | Michael Thomas Guldan | Dentist | 412 State Route 37, Hogansburg, NY 13655-3109 | 2006-03-27 |
| 1396736989 | Joseph S Park | Dentist | 412 State Route 37, Hogansburg, NY 13655-3109 | 2005-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225651946 | Elizabeth Marie Eggleston | Social Worker | Saint Regis Mohawk Tribe Health Services, 404 State Route 37, Hogansburg, NY 13655 | 2020-05-28 |
| 1093206732 | Heather Marie Pontius | Dietitian, Registered | 378 State Route 37, Hogansburg, NY 13655 | 2018-05-29 |
| 1548400690 | Melissa Ann Dalton | Technician/Technologist | 155 State Route 37, Hogansburg, NY 13655 | 2009-03-03 |
| 1730329848 | Barbara George | Technician/Technologist | 346 St.regis Road, Akwesasne, NY 13655 | 2009-03-02 |
| 1225183577 | Hillary Jill Pyke | Optometrist | 997 State Rte 37, Hogansburg, NY 13655 | 2007-01-25 |
| 1871663294 | Katherine R Henderson | Counselor | 404 State Route 37, Hogansburg, NY 13655 | 2006-11-09 |
| 1538783220 | Trish D Keese | Counselor | 404 State Route 37, Hogansburg, NY 13655 | 2020-05-29 |
| 1265056956 | Connie M Thompson | Counselor | 404 State Route 37, Hogansburg, NY 13655 | 2020-05-29 |
| 1457975138 | Brittany L Benedict | Counselor | 404 State Route 37, Hogansburg, NY 13655 | 2020-05-29 |
| 1063035582 | Saint Regis Mohawk Tribe | Health Educator | 404 State Route 37, Hogansburg, NY 13655 | 2020-05-19 |
| Find all providers in zip 13655 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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| Find all providers with the same taxonomy | ||||
| City | HOGANSBURG |
| Zip Code | 13655 |
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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.