Gary A Latcham (NPI# 1417038399, PAC ID# 9830120864) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1417038399 |
| PAC ID by PECOS | 9830120864 |
| Professional Enrollment ID | I20050829001052 |
| Full Name | Gary A Latcham |
| Organization Legal Name | CAPITAL ORTHOPAEDICS AND SPORTS MEDICINE PC |
| Address |
12499 University Ave Suite 210 Clive IA 50325-8288 |
| Phone Number | 5154402676 |
| Gender | M |
| Credential | PT |
| Graduation Year | 1992 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 3476691551 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3160 8th St Sw, 1 Athletico Physical Therapy, Altoona, IA 50009-1023 | 5159674580 | ATHLETICO LTD |
| 2525 N Ankeny Blvd, 101 Athletico Physical Therapy, Ankeny, IA 50023-4708 | 5159654594 | ATHLETICO LTD |
| 3252 Ridge Pt, Bettendorf, IA 52722-5312 | 5633324995 | ATHLETICO LTD |
| 12499 University Ave, Suite 210, Clive, IA 50325-8288 | 5154402676 | CAPITAL ORTHOPAEDICS AND SPORTS MEDICINE PC |
| 1704 Ingersoll Ave, Suite 101, Des Moines, IA 50309-3332 | 5152824560 | ATHLETICO LTD |
| 2619 Sw 9th St, 103 Athletico Physical Therapy, Des Moines, IA 50315-1910 | 5159536911 | ATHLETICO LTD |
| 2918 E University Ave, Athletico Physical Therapy, Des Moines, IA 50317-8236 | 5152658272 | ATHLETICO LTD |
| 241 Se Destination Dr, Athletico Physical Therapy, Grimes, IA 50111-8901 | 5159865190 | ATHLETICO LTD |
| 8000 Douglas Ave, Urbandale, IA 50322-2450 | 5152513700 | ATHLETICO LTD |
| 452 -454 Se University Ave, Athletico Physical Therapy, Waukee, IA 50263-8121 | 5159870465 | ATHLETICO LTD |
| 5045 Bentley Dr, Suite 190, West Des Moines, IA 50265-7010 | 5152261616 | ATHLETICO LTD |
| Organization Legal Name | CAPITAL ORTHOPAEDICS AND SPORTS MEDICINE PC |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donna J Bahls | Physical Medicine and Rehabilitation | Capital Orthopaedics and Sports Medicine PC | 12499 University Ave, Suite 210, Clive, IA 50325-8288 |
| Brian M Crites | Orthopedic Surgery | Capital Orthopaedics and Sports Medicine PC | 12499 University Ave, Suite 210, Clive, IA 50325-8288 |
| Michael S Lee | Podiatry | Capital Orthopaedics and Sports Medicine PC | 12499 University Ave, Suite 210, Clive, IA 50325-8288 |
| Andrew L Jacobs | Physical Therapy | Capital Orthopaedics and Sports Medicine PC | 12499 University Ave, Suite 210, Clive, IA 50325-8288 |
| Todd C Peterson | Orthopedic Surgery | Capital Orthopaedics and Sports Medicine PC | 12499 University Ave, Suite 210, Clive, IA 50325-8288 |
| Gregory J Yanish | Hand Surgery | Capital Orthopaedics and Sports Medicine PC | 12499 University Ave, Suite 210, Clive, IA 50325-8288 |
| Mark D Fish | Orthopedic Surgery | Capital Orthopaedics and Sports Medicine PC | 12499 University Ave, Suite 210, Clive, IA 50325-8288 |
| Erica L Evans | Podiatry | Capital Orthopaedics and Sports Medicine PC | 12499 University Ave, Suite 210, Clive, IA 50325-8288 |
| William R Boulden | Orthopedic Surgery | Capital Orthopaedics and Sports Medicine PC | 12499 University Ave, Suite 210, Clive, IA 50325-8288 |
| Bryan J Goos | Physical Therapy | Capital Orthopaedics and Sports Medicine PC | 12499 University Ave, Suite 210, Clive, IA 50325-8288 |
| Street Address |
12499 UNIVERSITY AVE SUITE 210 |
| City | CLIVE |
| State | IA |
| Zip | 50325-8288 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Annette Bosman | Physical Therapy | Ear Nose and Throat Consultants and Hearing Services Plc | 12499 University Ave, Suite 250, Clive, IA 50325-8271 |
| Donna J Bahls | Physical Medicine and Rehabilitation | Capital Orthopaedics and Sports Medicine PC | 12499 University Ave, Suite 210, Clive, IA 50325-8288 |
| Brian M Crites | Orthopedic Surgery | Capital Orthopaedics and Sports Medicine PC | 12499 University Ave, Suite 210, Clive, IA 50325-8288 |
| Michael S Lee | Podiatry | Capital Orthopaedics and Sports Medicine PC | 12499 University Ave, Suite 210, Clive, IA 50325-8288 |
| Andrew L Jacobs | Physical Therapy | Capital Orthopaedics and Sports Medicine PC | 12499 University Ave, Suite 210, Clive, IA 50325-8288 |
| Nathan Charles O'neill | Physical Therapy | Ear Nose and Throat Consultants and Hearing Services Plc | 12499 University Ave, Suite 250, Clive, IA 50325-8271 |
| Todd C Peterson | Orthopedic Surgery | Capital Orthopaedics and Sports Medicine PC | 12499 University Ave, Suite 210, Clive, IA 50325-8288 |
| Gregory J Yanish | Hand Surgery | Capital Orthopaedics and Sports Medicine PC | 12499 University Ave, Suite 210, Clive, IA 50325-8288 |
| Mark D Fish | Orthopedic Surgery | Capital Orthopaedics and Sports Medicine PC | 12499 University Ave, Suite 210, Clive, IA 50325-8288 |
| Erica L Evans | Podiatry | Capital Orthopaedics and Sports Medicine PC | 12499 University Ave, Suite 210, Clive, IA 50325-8288 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda Kay Van Wyk | Physician Assistant | Dermatology and Dermatologic Surgery Center, PC | 8131 University Blvd, Clive, IA 50325-1123 |
| Steven Lee Harlan | Dermatology | Dermatology and Dermatologic Surgery Center, PC | 8131 University Blvd, Clive, IA 50325-1123 |
| Janice I Hill | Clinical Social Worker | 7405 University Blvd, Suite 6, Clive, IA 50325-1343 | |
| Karla M Hansen | Clinical Social Worker | 7405 University Ave, Suite 6, Clive, IA 50325-1343 | |
| David R Krohse | Chiropractic | 7405 University Ave, Suite 1, Clive, IA 50325-1343 | |
| Justin C Luneburg | Chiropractic | 11050 Hickman Rd, Clive, IA 50325-3740 | |
| Traci K Williams | Chiropractic | 8450 Hickman Rd, Suite 14, Clive, IA 50325-4307 | |
| Monty Kluger | Chiropractic | 8350 Hickman Rd, Suite 4, Clive, IA 50325-4311 | |
| Ryan Donahue | Chiropractic | Shaw Chiropractic and Sports Injury Center | 2555 Berkshire Pkwy F, Clive, IA 50325-4646 |
| Abel J Shaw | Chiropractic | Shaw Chiropractic and Sports Injury Center | 2555 Berkshire Pkwy F, Clive, IA 50325-4646 |
| Find all physicians in zip 50325 | |||
| City | CLIVE |
| Zip Code | 50325 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | CLIVE + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Gary A Latcham.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.