MS. MILDRED B LATHAM (NPI# 1417159179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417159179 |
| Entity Type | Individual |
| Full Name | MS. MILDRED B LATHAM |
| Credential | PA-C |
| Practice Address |
3606 N Cincinnati Ave L.l.c. Tulsa OK 74106-1536 |
| Practice Telephone | 9184285373 |
| Practice Fax Number | 9184288235 |
| Mailing Telephone | 9184285373 |
| Mailing Fax Number | 9184288235 |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2008-08-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1751 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 085002908 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3606 N CINCINNATI AVE L.L.C. |
| City | TULSA |
| State | OK |
| Zip Code | 74106-1536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376683169 | Westview Pharmacy | Durable Medical Equipment & Medical Supplies | 3606 N Cincinnati Ave, Tulsa, OK 74106-1536 | 2007-02-08 |
| 1780949313 | Westview Pediatric Care | Clinic/Center | 3606 N Cincinnati Ave, Tulsa, OK 74106-1536 | 2012-07-10 |
| 1205103231 | Northside Family Practice Pllc | Internal Medicine | 3606 N Cincinnati Ave, Tulsa, OK 74106-1536 | 2011-11-18 |
| 1629255492 | Westview Smile Care Center, PC | Clinic/Center | 3606 N Cincinnati Ave, Tulsa, OK 74106-1536 | 2008-01-23 |
| 1164603213 | Quality Care Medical Center Inc | Family Medicine | 3606 N Cincinnati Ave, Tulsa, OK 74106-1536 | 2007-11-16 |
| 1902020753 | Westview Medical Center LLC | Family Medicine | 3606 N Cincinnati Ave, Tulsa, OK 74106-1536 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811538895 | Desma Johnson | Technician | 784 East 43rd Street North, Tulsa, OK 74106 | 2019-10-01 |
| 1912462094 | Breyan Lashawn Jackson | Case Manager/Care Coordinator | 3606 N Mlk Jr. Blvd, Tulsa, OK 74106 | 2019-02-04 |
| 1740751445 | Ernest Kaara Maina | Family Medicine | 3606 M.l.k. Jr Blvd, Tulsa, OK 74106 | 2018-12-07 |
| 1568969632 | A&m Healthcare Clinic | Nurse Practitioner | 3606 North Mlk Blvd, Tulsa, OK 74106 | 2018-04-06 |
| 1265880819 | Paula Patricia Tullis | Psychologist | 1232 N Boston, Tulsa, OK 74106 | 2016-05-24 |
| 1326413030 | Eartha Mcalester | Counselor | 628 E. Virgin St., Tulsa, OK 74106 | 2015-12-07 |
| 1114334182 | James O Brannon Jr. | Behavioral Analyst | 2745 North Main, Tulsa, OK 74106 | 2014-07-22 |
| 1952718512 | Teresa Marie Williams | Counselor | 3601 N. Martin Luther King Blvd, Tulsa, OK 74106 | 2014-07-16 |
| 1639580764 | Lynnette Dixon | Case Management | 708 East 38th Street North, Tulsa, OK 74106 | 2014-05-12 |
| 1184975898 | Tiara Delonia | Social Worker | 1 W 36th St N Suite 1, Tulsa, OK 74106 | 2012-09-21 |
| Find all providers in zip 74106 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720620487 | Taehee Strauss | Physician Assistant | 5229 S Harvard Ave Apt H, Tulsa, OK 74135-3551 | 2019-10-15 |
| 1871134163 | Claire Anne Kifer | Physician Assistant | 155 E 29th Pl, Tulsa, OK 74114-5201 | 2019-10-08 |
| 1033750328 | Jazmine Denise Nicole Manns | Physician Assistant | 9132 E 37th Ct, Tulsa, OK 74145-3415 | 2019-10-08 |
| 1295376523 | Emily Montana Bergeron | Physician Assistant | 1417 W 78th St Apt 1213, Tulsa, OK 74132-4633 | 2019-10-08 |
| 1295376325 | Reagan Hahn | Physician Assistant | 7746 Riverside Pkwy Apt 203, Tulsa, OK 74136-7677 | 2019-09-30 |
| 1881245082 | Miranda Hamilton | Physician Assistant | 3726 E 43rd St, Tulsa, OK 74135-2743 | 2019-09-27 |
| 1205487493 | Christopher Thibeault | Physician Assistant | 10326 S Oswego Ave, Tulsa, OK 74137 | 2019-09-27 |
| 1831740018 | Savannah Payne | Physician Assistant | 7734 Riverside Pkwy Apt 207f, Tulsa, OK 74136-7371 | 2019-09-27 |
| 1366093759 | Garrett Blubaugh | Physician Assistant | 8307 E 60th St Apt 2127, Tulsa, OK 74145-5014 | 2019-09-26 |
| 1649821547 | Madison Snow | Physician Assistant | 7734 Riverside Pkwy # 207, Tulsa, OK 74136-7670 | 2019-09-23 |
| Find all providers in TULSA | ||||
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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.