DERRICK L LATOS M.D. NPI 1962463273

NPI Information

NPI: 1962463273
Provider Name: DERRICK L LATOS, M.D.
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

Address:
58 16TH ST
SUITE 500
WHEELING, WV
ZIP 26003
Phone: (304) 242-7751
Get Directions

Derrick L Latos, M.D. is a nephrology internal medicine in Wheeling, WV. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. Derrick L Latos, M.D. NPI is 1962463273. 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:

58 16TH ST
SUITE 500
WHEELING, WV
ZIP 26003-660
Phone: (304) 242-7751
Fax: (304) 242-7254

The enumeration date for this NPI number is 3/29/2006 and was last updated on 3/6/2008.

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	207RN0300X	Internal Medicine	Nephrology	35051747L	OHIO	No
2	207RN0300X	Internal Medicine	Nephrology	10953	WEST VIRGINIA	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	0433044	MEDICARE ID-TYPE UNSPECIFIED	OHIO
2	10953B	OTHER	WEST VIRGINIA	HPUOV
3	0344854	MEDICAID	OHIO
4	A71958	MEDICARE UPIN	WEST VIRGINIA
5	0077242000	MEDICAID	WEST VIRGINIA
6	0433043	MEDICARE ID-TYPE UNSPECIFIED	WEST VIRGINIA

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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