MR. EVAN THOMAS LATOURRETTE DPM NPI 1396266516

NPI Information

  • NPI: 1396266516
  • Provider Name: MR. EVAN THOMAS LATOURRETTE, DPM
  • Classification: Podiatrist - 213EP1101X
  • Specialization: Primary Podiatric Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 382 ROSEVALE AVE
    RONKONKOMA, NY
    ZIP 11779
  • Phone: (631) 667-0388

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NPI Details

MR. Evan Thomas Latourrette, DPM is a primary podiatric medicine podiatrist in Ronkonkoma, NY with 8 years of experience. MR. Evan Thomas Latourrette, DPM NPI is 1396266516. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduation Year:2017

The provider's business location address is:

382 ROSEVALE AVE
RONKONKOMA, NY
ZIP 11779-069
Phone: (631) 667-0388
Fax: (631) 968-7705

The NPI 1396266516 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).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • Initial nursing facility visit per day, typically 45 minutes (HCPCS:99306)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)

The enumeration date for this NPI number is 6/28/2017 and was last updated on 7/15/2022.

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
1213E00000XPodiatristN007080-1NEW YORKNo
2213E00000XPodiatristN007080NEW YORKNo
3213ES0103XPodiatristFoot & Ankle SurgeryN007080-1NEW YORKNo
4213ES0131XPodiatristFoot SurgeryN007080-1NEW YORKNo
5390200000XStudent in an Organized Health Care Education/Training ProgramNo
6213EP1101XPodiatristPrimary Podiatric MedicineN007080-1NEW YORKYes

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
1B1386739514MEDICAIDNEW YORK
2ETINAD01MEDICAIDNEW YORK

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: 3/30/2025

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