DR. STEPHEN C. LATTANZI (NPI# 1801894555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801894555 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN C. LATTANZI |
| Credential | M.D. |
| Practice Address |
628 Hospital Dr Ground Floor, Suite A Mountain Home AR 72653-2953 |
| Mailing Address |
Po Box 2038 Mountain Home AR 72654-2038 |
| Practice Telephone | 8704254402 |
| Practice Fax Number | 8604372236 |
| Mailing Telephone | 8704247070 |
| Mailing Fax Number | 8704246616 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2016-12-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 035831 | CT | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
E-9749 | AR | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
035831 | CT | Allopathic & Osteopathic Physicians |
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
035831 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001358317 | 05 |
| Street Address |
628 HOSPITAL DR GROUND FLOOR, SUITE A |
| City | MOUNTAIN HOME |
| State | AR |
| Zip Code | 72653-2953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265899363 | Baxter County Regional Hospital, Inc | Internal Medicine | 628 Hospital Dr, Suit 1 A, Mountain Home, AR 72653-2953 | 2016-01-20 |
| 1720477086 | Marcella Bobette Bramblett | Nurse Practitioner | 628 Hospital Dr, Ste E, Mountain Home, AR 72653-2953 | 2015-01-09 |
| 1386071785 | Kathleen Joy Prinner | Clinical Nurse Specialist | 628 Hospital Dr, Suite 3e, Mountain Home, AR 72653-2953 | 2013-09-30 |
| 1598030579 | Baxter County Regional Hospital Inc | Clinic/Center | 628 Hospital Dr, Suite E, Mountain Home, AR 72653-2953 | 2012-03-09 |
| 1639407323 | M B Moore Md Orthopaedic Surgeon Pa | Orthopaedic Surgery | 628 Hospital Dr, Suite E, Mountain Home, AR 72653-2953 | 2009-11-18 |
| 1841422003 | Aaron J Wallace, Md,pllc | Orthopaedic Surgery | 628 Hospital Dr, Suite E, Mountain Home, AR 72653-2953 | 2009-08-20 |
| 1912156068 | Diana Sue Riley | Physician Assistant | 628 Hospital Dr, Suite G-c, Mountain Home, AR 72653-2953 | 2008-09-13 |
| 1013179498 | Mcbride Orthopaedics, Pllc | Orthopaedic Surgery | 628 Hospital Dr, Ground Floor, Suite D, Mountain Home, AR 72653-2953 | 2008-06-27 |
| 1447420997 | Baxter County Regional Hospital Inc | Internal Medicine | 628 Hospital Dr, Suite 3a, Mountain Home, AR 72653-2953 | 2008-03-11 |
| 1003086646 | Baxter County Regional Hospital Inc. | Urology | 628 Hospital Dr, Suite 3a, Mountain Home, AR 72653-2953 | 2008-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619513934 | Maranda Hickman | Physical Therapy Assistant | 347 Hwy 62 East College Plaza, Mountain Home, AR 72653 | 2019-11-21 |
| 1659929156 | Gale E Bacan | Technician | 1703 Monroe Ave, Mountain Home, AR 72653 | 2019-08-28 |
| 1891259321 | Kidspiration Pediatric Therapy Services | Clinic/Center | 710 Bradley Dr., Mountain Home, AR 72653 | 2019-01-29 |
| 1093279275 | Piper's Vision Xpress, LLC | Optometrist | 50 Paul Wood Lane, Mountian Home, AR 72653 | 2019-01-22 |
| 1346769155 | Heather Bollinger | Nurse Practitioner | 65 Walmart Drive, C/o Clinic At Walmart, Mountain Home, AR 72653 | 2017-09-12 |
| 1447774989 | Natalie D Ahrent | Physical Medicine & Rehabilitation | 804 Coley Dr, Mountain Home, AR 72653 | 2017-07-26 |
| 1417486028 | Andrew David Hatman | Case Manager/Care Coordinator | 1349 Hampshire Circle, Mountain Home, AR 72653 | 2017-06-07 |
| 1568848315 | Taylor Chiropractic Plc | Health Maintenance Organization | 103 S Main St Ste 5, Mountain Home, AR 72653 | 2015-08-04 |
| 1942606306 | Harps Food Stores, Inc | Pharmacy | 2089 Highway 62 West, Mountain Home, AR 72653 | 2014-11-13 |
| 1972920726 | Lavonne Armstrong | Counselor | 8 Medical Plaza, Mountain Home, AR 72653 | 2014-03-18 |
| Find all providers in zip 72653 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265899363 | Baxter County Regional Hospital, Inc | Internal Medicine | 628 Hospital Dr, Suit 1 A, Mountain Home, AR 72653-2953 | 2016-01-20 |
| 1891022596 | Bob E Cogburn Md Pa | Internal Medicine | 899 Burnett Dr, Mountain Home, AR 72653 | 2009-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356729016 | Oasis Healthcare Corporation | Internal Medicine | 112 Sezanne Ct, Little Rock, AR 72223-5095 | 2015-05-14 |
| 1487053484 | Faith E Davies | Internal Medicine | 4301 W.markham Street, Mail Slot 816, Little Rock, AR 72205-7199 | 2014-08-15 |
| 1942516182 | Carolina D Schinke | Internal Medicine | 4301 W Markham St # 816, Little Rock, AR 72205-7101 | 2010-08-25 |
| 1093986358 | South Arkansas Hematology & Oncology Clinic Pa | Internal Medicine | 1716 Doctor Dr., Pine Bluff, AR 71603-6367 | 2008-03-14 |
| 1548317340 | Lynsay Leighanne Brautnick | Internal Medicine | 3232 N North Hills Blvd, Fayetteville, AR 72703-4005 | 2007-01-04 |
| 1629175922 | Manjusha Kota | Internal Medicine | 180 Medical Park Pl Ste 201, Hot Springs, AR 71901 | 2006-09-20 |
| 1063526614 | Abid Mohiuddin | Internal Medicine | 7200 S. Hazel, Arkansas Cancer Institute, Pine Bluff, AR 71603-7836 | 2006-08-19 |
| 1871607770 | Ahmad Mazen Safar | Internal Medicine | 805 Loyola Dr, Little Rock, AR 72211-5520 | 2006-08-18 |
| 1447298195 | Frank J Panettiere | Internal Medicine | 1002 S 19th St, Rogers, AR 72758-4904 | 2006-06-03 |
| 1700846045 | David A Nixon | Internal Medicine | 4808e Johnson Ave, Jonesboro, AR 72401-8413 | 2006-03-23 |
| Find all providers with the same taxonomy | ||||
| City | MOUNTAIN HOME |
| Zip Code | 72653 |
Please comment or provide details below to improve the information on DR. STEPHEN C. LATTANZI.
| 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.