RICKY D. LATHAM MD – NPI #1477553139
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Health Care Provider Taxonomy Code for Internal Medicine

NPI Profile
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RICKY LATHAM is a physician located in IDAHO FALLS, ID. NPPES has assigned the NPI number 1477553139 to RICKY LATHAM on July 26, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 7 years ago on Feb 13, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RICKY LATHAM below.

NPI Profile for
RICKY D. LATHAM

NPI Number

1477553139

Enumeration Date

Jul 26, 2005
(about 21 years ago)

Entity Type

Type-1 Individual (Male)

Legal Name

RICKY D. LATHAM

Credentials

Primary location

2001 VALENICA DRIVE
SUITE 201
IDAHO FALLS, ID 83404

Phone: (208) 524-9400 Fax: (208) 524-9401

Mailing address

1775 THOMPSON RD
COOS BAY, OR 97420-2125

Phone: (541) 266-4650 Fax: (541) 266-4659

Sole Proprietor

Updated

Feb 13, 2019

Identifiers

Identifiers for RICKY LATHAM

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers

Description	Issuer	State	Identifier
OTHER	BLUE CROSS OF ID SE, BC2		DZ692
OTHER	BLUE CROSS OF IDAHO, BC		DZ692
OTHER	BLUE SHIELD OF ID S, BS2		000010005099
OTHER	BLUE SHIELD OF ID, BS		000010005099
OTHER	EDS- MEDICAID, EDS		000353200
OTHER	ID	ID	M6887
OTHER	MEDICAID OF WA, MD-W		8318842
OTHER	MEDICAID WYOMING, MWY		111489100
OTHER	MEDICARE-CIGNA, MC		1134041
OTHER	MONTANA MEDICAID, MEM		0031512
OTHER	RAILROAD MEDICARE, RRM		060053550
OTHER	WY/EDS CONSULTEC, INC WYM		111489100
MEDICAID		ID	000353200
MEDICAID		OR	500680039

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization	State	License
207RC0000X - Internal Medicine / Cardiovascular Disease (Primary)	ID	M6887

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education

LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT - Graduated 1979

Accepts Medicare

This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.

Medicare Ordering & Referring

Provider can:

Refer to Part B
Order Durable Medical Equipment
Refer to Home Health Agency
Order Power Mobility Devices

Affiliations

RICKY LATHAM is affiliated with the following medical group(s):

HOSPITAL
- BINGHAM MEMORIAL HOSPITAL
  98 POPLAR STREET
  BLACKFOOT, ID 83221
- CARIBOU MEDICAL CENTER
  300 SOUTH 3RD WEST
  SODA SPRINGS, ID 83276
- EASTERN IDAHO REGIONAL MEDICAL CENTER
  3100 CHANNING WAY
  IDAHO FALLS, ID 83404
- MOUNTAIN VIEW HOSPITAL
  1485 PARKWAY DRIVE
  BLACKFOOT, ID 83221

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Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.