VICKI C LATHAM (NPI# 1790740769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790740769 |
| Entity Type | Individual |
| Full Name | VICKI C LATHAM |
| Other Name | VICKI ANN CAMPBELL |
| Credential | PA-C |
| Practice Address |
608 S Hester St Stillwater OK 74074-4516 |
| Practice Telephone | 4053778000 |
| Practice Fax Number | 4053778040 |
| Mailing Telephone | 4053778000 |
| Mailing Fax Number | 4053778040 |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2009-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | OK725 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200235260A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114099041 | Vicki Legrand Latham | Midwife | 3200 Northline Ave., Ste 130, Greensboro, NC 27408-7600 | 2006-11-15 |
| Street Address |
608 S HESTER ST |
| City | STILLWATER |
| State | OK |
| Zip Code | 74074-4516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528068426 | John David Williams | Internal Medicine | 608 S Hester St, Stillwater, OK 74074-4516 | 2005-07-21 |
| 1457783656 | Associates of Medicine,john D Williams,md,pllc | Durable Medical Equipment & Medical Supplies | 608 S Hester St, Stillwater, OK 74074-4516 | 2013-07-30 |
| 1285992107 | Jon Mark Johnson II | Internal Medicine | 608 S Hester St, Stillwater, OK 74074-4516 | 2012-04-28 |
| 1770733917 | Associates of Medicine/john D Williams,md,pllc | Internal Medicine | 608 S Hester St, Stillwater, OK 74074-4516 | 2008-09-24 |
| 1003951385 | Associates of Internal Medicine | Internal Medicine | 608 S Hester St, Stillwater, OK 74074-4516 | 2007-02-21 |
| 1598765497 | Jon Mark Johnson Sr. | Internal Medicine | 608 S Hester St, Stillwater, OK 74074-4516 | 2005-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366090680 | Jason K. White, Ph.d., LLC | Psychologist | 807 S. Pine St., Stillwater, OK 74074 | 2019-08-29 |
| 1366095861 | Kelsey Lyn Bigheart | Peer Specialist | 5421 S Deer Trail, Stillwater, OK 74074 | 2019-07-23 |
| 1881256691 | Shelly Lynn Green | Nurse Practitioner | 1321 W. 7th Street, Stillwater, OK 74074 | 2019-07-01 |
| 1811426273 | Judy Catlett | Case Manager/Care Coordinator | 800 E. 6th Str, Stillwater, OK 74074 | 2017-06-08 |
| 1518322296 | Abi Physical Therapy Services | Physical Therapist | 810 S. Walnut Street, Stillwater, OK 74074 | 2015-12-22 |
| 1366833451 | Connecting The Pieces | Case Management | 812 S Walnut, Stillwater, OK 74074 | 2015-02-10 |
| 1790122414 | Airie Flanagan | Doula | 2601 Gregory Ln, Stillwater, OK 74074 | 2013-06-04 |
| 1760720668 | Stillwater Histology LLC | Internal Medicine | 1301 W. 6th St, Suite 106, Stillwater, OK 74074 | 2013-01-28 |
| 1144570565 | Nikkie Jo Dunnigan | Counselor | 2322 W 7th, Stillwater, OK 74074 | 2012-09-13 |
| 1487889952 | Lynn B. Roberts | General Practice | 1321 W 7th St, Stillwater Community Health, Stillwater, OK 74074 | 2009-05-27 |
| Find all providers in zip 74074 | ||||
| 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 |
|---|---|---|---|---|
| 1043843782 | Andrea Claire Mueller | Physician Assistant | 8050 Imperial Ct N, Stillwater, MN 55082-9340 | 2020-02-21 |
| 1235604984 | Zachary T Edens | Physician Assistant | 1909 W 6th Ave Ste B, Stillwater, OK 74074-4204 | 2018-10-09 |
| 1881916179 | Meredith Pruitt | Physician Assistant | 1009 W 9th Ave, Stillwater, OK 74074-5404 | 2010-02-27 |
| 1366488587 | Eric Sage Salman | Physician Assistant | 1950 Curve Crest Blvd W, Suite100, Stillwater, MN 55082-5078 | 2006-06-22 |
| 1134169774 | Jacob Gregory Guth | Physician Assistant | 1835 County Road C West, Suite 150, Stillwater, MN 55082-5078 | 2006-06-08 |
| 1124012638 | Elizabeth Fell Loken | Physician Assistant | 5701 Stillwater Blvd N, Stillwater, MN 55082-1030 | 2005-09-12 |
| 1174121677 | Christen Nelson | Physician Assistant | 511 Windsor Dr, Stillwater, OK 74074-6962 | 2020-10-16 |
| 1194336412 | Anna Kaci Renner | Physician Assistant | 270 Main St N Ste 300, Stillwater, MN 55082-6788 | 2020-08-11 |
| 1275163735 | Trevor Duade Maxwell | Physician Assistant | 275 S Perkins Rd, Stillwater, OK 74074-3665 | 2020-01-23 |
| 1649821646 | Robert Monroe Poutre | Physician Assistant | 1701 Curve Crest Blvd W Ste 104, Stillwater, MN 55082-6181 | 2019-09-23 |
| Find all providers in STILLWATER | ||||
| City | STILLWATER |
| Zip Code | 74074 |
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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.