NICHOLAS LATCHANA


Address: 2104 Randolph Rd, Charlotte, NC 28207
Phone: 7043773900

NICHOLAS LATCHANA (NPI# 1851612089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851612089
Entity Type Individual
Full Name NICHOLAS LATCHANA
Credential M.D.
Practice Address 2104 Randolph Rd
Charlotte
NC 28207
Mailing Address Po Box 60447
Charlotte
NC 28260-0447
Practice Telephone 7043773900
Practice Fax Number 7043771244
Enumeration Date 2010-06-22
Last Update Date 2020-10-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery 2019-01172 NC Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
395 W 12th Ave Rm 654, Columbus, OH 432101267 6142938704

Office Location

Street Address 2104 RANDOLPH RD
City CHARLOTTE
State NC
Zip Code 28207

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710999628 Ilan D Avin Surgery 2104 Randolph Rd, Charlotte, NC 28207 2006-08-12
1356852446 Michael Andrianos Thomopoulos Physician Assistant 2104 Randolph Rd, Charlotte, NC 28207-1522 2017-10-17
1578072989 Carter Martens Surgery 2104 Randolph Rd, Charlotte, NC 28207-1522 2017-09-28
1588185094 Victoria Levesque Dietitian, Registered 2104 Randolph Rd, Charlotte, NC 28207-1522 2017-07-06
1821525239 Novant Medical Group, Inc. Surgery 2104 Randolph Rd, Charlotte, NC 28207-1522 2017-05-16
1346607827 Lauren Taylor Sandberg Physician Assistant 2104 Randolph Rd, Charlotte, NC 28207-1522 2016-01-28
1952776825 Sarah Klecha Ingold Physician Assistant 2104 Randolph Rd, Charlotte, NC 28207-1522 2015-12-03
1588060412 Jessica Fowler Michalak Physician Assistant 2104 Randolph Rd, Charlotte, NC 28207-1522 2014-11-04
1245338557 Carolina Surgical Clinic of Charlotte, Pa Surgery 2104 Randolph Rd, Charlotte, NC 28207-1522 2006-09-20
1417055716 Carl Jarrett Lowe Jr. Surgery 2104 Randolph Rd, Charlotte, NC 28207-1522 2006-09-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013560739 Louis Roncaglione Dentist 8815 Christenbury Pkway, Concord, NC 28207 2019-07-22
1619430014 Khrystyna Levytska Student in an Organized Health Care Education/Training Program Myers Park Clinic Ob/gyn, 1350 S. Kings Dr., Charlotte, NC 28207 2019-04-11
1649743584 Carolinas Hometown Respiratory LLC Durable Medical Equipment & Medical Supplies 1005 South Kings Drive, Charlotte, NC 28207 2019-01-03
1023584489 Herron and Smith Associates, Pllc Dentist 135 Perrin Place, Suite 100, Charlotte, NC 28207 2018-10-23
1588161640 Lauren Mogk Student in an Organized Health Care Education/Training Program Myers Park Clinical Internal Medicine, 1350 S. Kings Dr., 3rd Floor, Charlotte, NC 28207 2018-04-06
1518462241 Sarah Hollyn Carlock Student in an Organized Health Care Education/Training Program Myers Park Clinic Internal Medicine, 1350 S Kings Dr, 3rd Floor, Charlotte, NC 28207 2018-03-26
1083118178 Claire Milam Student in an Organized Health Care Education/Training Program Cmc/department of Emergency Medicine, 100 Blythe Blvd, Charlotte, NC 28207 2018-03-22
1811422256 Complete Care At Dartmouth LLC Skilled Nursing Facility 300 Province Road, Charlotte, NC 28207 2017-04-24
1063945467 Kaitlyn O'keefe Internal Medicine 1350 S. Kings Dr., 3rd Floor, Myers Park Clinic Internal Medicine, Charlotte, NC 28207 2017-04-04
1811432024 Advanced Prosthetics of Easley, Inc Durable Medical Equipment & Medical Supplies 2310 Randolph Rd Ste A, Charlotte, NC 28207 2016-12-23
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Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922645571 Novant Medical Group, Inc. Surgery 6324 Fairview Rd Ste 420, Charlotte, NC 28210-3372 2019-12-03
1154806271 The Cosmetic Concierge, Pllc Surgery 325 Arlington Ave Unit B, Charlotte, NC 28203-4574 2018-09-25
1619363538 William Charles Sherrill IIi Surgery 1000 Blythe Blvd Ste 601, Charlotte, NC 28203-5812 2015-04-07
1174968069 Jonathan Bouchez Surgery 1000 Blythe Bvld., Charlotte, NC 28203 2013-05-06
1437475779 Blair A Wormer Surgery 1901 Brunswick Ave Ste 200, Charlotte, NC 28207-1897 2010-04-12
1407039845 Charles Arthur Hill IIi Surgery 325 Hawthorne Ln Ste 100, Charlotte, NC 28204 2007-12-07
1841491370 Johnnie Lyles Surgery 2908 Oak Lake Blvd, Suite 205, Charlotte, NC 28208-7703 2007-05-31
1619000486 Gordon W Jacobs Surgery 14920 Wyndham Oaks Dr, Charlotte, NC 28277-1512 2007-03-13
1750421228 Sandra Giller Surgery 1918 Randolph Rd Ste 130, Charlotte, NC 28207-1107 2007-02-07
1831255009 Wendell Aubrey Goins Surgery 9336 Blakeney Centre Dr, Ste 100b, Charlotte, NC 28277-6666 2006-12-29
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Competitor

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City CHARLOTTE
Zip Code 28207

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Dataset Information

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.

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