MR. JAMES MICHAEL LATHROUM PA-C NPI 1659337293

NPI Information

NPI: 1659337293
Provider Name: MR. JAMES MICHAEL LATHROUM, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
5601 LOCH RAVEN BLVD
GOOD SAMARITAN HOSPITAL - PRE-ADMISSION TESTING
BALTIMORE, MD
ZIP 21239
Phone: (443) 444-8000
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MR. James Michael Lathroum, PA-C is a surgical physician assistant in Baltimore, MD. MR. James Michael Lathroum, PA-C NPI is 1659337293. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5601 LOCH RAVEN BLVD
GOOD SAMARITAN HOSPITAL - PRE-ADMISSION TESTING
BALTIMORE, MD
ZIP 21239-905
Phone: (443) 444-8000
Fax: (443) 444-4725

The NPI 1659337293 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/22/2006 and was last updated on 6/23/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	C-421	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	S83884	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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