Bruce D Latham (NPI# 1356302491, PAC ID# 6305881467) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1356302491 |
| PAC ID by PECOS | 6305881467 |
| Professional Enrollment ID | I20050621000125 |
| Full Name | Bruce D Latham |
| Organization Legal Name | SACO RIVER MEDICAL GROUP, PC |
| Address |
7 Greenwood Ave Conway NH 03818-6130 |
| Phone Number | 6034473500 |
| Gender | M |
| Credential | DO |
| Medical School | NOVA SOUTHEASTERN UNIV COLLEGE OF DENTAL MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7911817291 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 301307 | MEMORIAL HOSPITAL, THE |
| Address | Phone | Organization |
|---|---|---|
| 7 Greenwood Ave, Conway, NH 03818-6130 | 6034473500 | SACO RIVER MEDICAL GROUP, PC |
| 637 Union St, Newport, VT 05855-5498 | 8023347177 | NORTHEAST KINGDOM HEMATOLOGY ONCOLOGY PLLC |
| Organization Legal Name | SACO RIVER MEDICAL GROUP, PC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer L Smith | Family Medicine | Saco River Medical Group, PC | 7 Greenwood Ave, Conway, NH 03818-6130 |
| Cynthia L Holloran | Nurse Practitioner | Saco River Medical Group, PC | 7 Greenwood Ave, Conway, NH 03818-6130 |
| Sarah A Duplinsky | Nurse Practitioner | Saco River Medical Group, PC | 7 Greenwood Ave, Conway, NH 03818-6130 |
| Emily E Beaulieu | Nurse Practitioner | Saco River Medical Group, PC | 7 Greenwood Ave, Conway, NH 03818-6130 |
| Franklin R Hubbell | General Practice | Saco River Medical Group, PC | 7 Greenwood Ave, Conway, NH 03818-6130 |
| Geraldine Lau | Nurse Practitioner | Saco River Medical Group, PC | 7 Greenwood Ave, Conway, NH 03818-6130 |
| Suzanne Reid | Nurse Practitioner | Saco River Medical Group, PC | 7 Greenwood Ave, Conway, NH 03818-6130 |
| Ellen D Jessop | Nurse Practitioner | Saco River Medical Group, PC | 7 Greenwood Ave, Conway, NH 03818-6130 |
| Heidi Root | Internal Medicine | Saco River Medical Group, PC | 7 Greenwood Ave, Conway, NH 03818-6130 |
| David F Ladley | Family Practice | Saco River Medical Group, PC | 7 Greenwood Ave, Conway, NH 03818-6130 |
| Street Address |
7 GREENWOOD AVE |
| City | CONWAY |
| State | NH |
| Zip | 03818-6130 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer L Smith | Family Medicine | Saco River Medical Group, PC | 7 Greenwood Ave, Conway, NH 03818-6130 |
| Cynthia L Holloran | Nurse Practitioner | Saco River Medical Group, PC | 7 Greenwood Ave, Conway, NH 03818-6130 |
| Sarah A Duplinsky | Nurse Practitioner | Saco River Medical Group, PC | 7 Greenwood Ave, Conway, NH 03818-6130 |
| Emily E Beaulieu | Nurse Practitioner | Saco River Medical Group, PC | 7 Greenwood Ave, Conway, NH 03818-6130 |
| Franklin R Hubbell | General Practice | Saco River Medical Group, PC | 7 Greenwood Ave, Conway, NH 03818-6130 |
| Geraldine Lau | Nurse Practitioner | Saco River Medical Group, PC | 7 Greenwood Ave, Conway, NH 03818-6130 |
| Suzanne Reid | Nurse Practitioner | Saco River Medical Group, PC | 7 Greenwood Ave, Conway, NH 03818-6130 |
| Ellen D Jessop | Nurse Practitioner | Saco River Medical Group, PC | 7 Greenwood Ave, Conway, NH 03818-6130 |
| Heidi Root | Internal Medicine | Saco River Medical Group, PC | 7 Greenwood Ave, Conway, NH 03818-6130 |
| David F Ladley | Family Practice | Saco River Medical Group, PC | 7 Greenwood Ave, Conway, NH 03818-6130 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah Cross | Nurse Practitioner | White Mountain Community Health Center | 298 White Mountain Hwy, Conway, NH 03818-4204 |
| Lisa S Cushing | Physician Assistant | White Mountain Community Health Center | 298 White Mountain Hwy, Conway, NH 03818-4204 |
| Cynthia J Mcgee | Nurse Practitioner | White Mountain Community Health Center | 298 White Mountain Hwy, Conway, NH 03818-4204 |
| Lauren E Hunter | Certified Nurse Midwife (cnm) | White Mountain Community Health Center | 298 White Mountain Hwy, Conway, NH 03818-4204 |
| Judy A Baker | Nurse Practitioner | White Mountain Community Health Center | 298 White Mountain Hwy, Conway, NH 03818-4204 |
| Rita A Kostecke | Family Practice | White Mountain Community Health Center | 298 White Mountain Hwy, Conway, NH 03818-4204 |
| Shawn R Taylor | Chiropractic | 486 White Mountain Hwy, A, Conway, NH 03818-4215 | |
| Gretchen J Davidson | Clinical Social Worker | 90 Odell Hill Rd, Conway, NH 03818-4401 | |
| Jed Wilson | Clinical Social Worker | 90 Odell Hill Rd, Conway, NH 03818-4401 | |
| Juliet C Dickinson | Chiropractic | 45 Washington St, Conway, NH 03818-6031 | |
| Find all physicians in zip 03818 | |||
| City | CONWAY |
| Zip Code | 03818 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CONWAY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Bruce D Latham.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.