Mr David E Latham, CRNA | |
1104 Tusculum Blvd, Suite 114, Greeneville, TN 37745-4091 | |
(423) 639-0941 | |
(423) 638-3401 |
Full Name | Mr David E Latham |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 46 Years |
Location | 1104 Tusculum Blvd, Greeneville, Tennessee |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487623682 | NPI | - | NPPES |
3052082 | Other | TN | BC/BS, BLUECARE, TENNCARE |
3603521 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN0000039907 (Tennessee) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | 8864 (Tennessee) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Greeneville Community Hospital | Greeneville, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Greeneville Anesthesia Services | 3971508904 | 9 |
Entity Name | Greeneville Anesthesia Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568409076 PECOS PAC ID: 3971508904 Enrollment ID: O20060926000529 |
Mailing Address | Practice Location Address |
---|---|
Mr David E Latham, CRNA Po Box 896138, Charlotte, NC 28289-6138 Ph: (423) 639-0941 | Mr David E Latham, CRNA 1104 Tusculum Blvd, Suite 114, Greeneville, TN 37745-4091 Ph: (423) 639-0941 |
Mr. Larry G Johnson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1104 Tusculum Blvd, Suite 303, Greeneville, TN 37745 Phone: 423-636-8600 Fax: 423-636-8892 | |
Mr. John Q Westbrook Iii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1104 Tusculum Blvd, Suite 114, Greeneville, TN 37745 Phone: 833-500-9914 | |
Mr. James R Kennedy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1104 Tusculum Blvd, Suite 114, Greeneville, TN 37745 Phone: 423-639-0941 | |
Christopher D Latham, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1104 Tusculum Blvd, Suite 114, Greeneville, TN 37745 Phone: 833-500-9914 | |
Mr. F Ronald Roberts, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1104 Tusculum Blvd, Suite 114, Greeneville, TN 37745 Phone: 423-639-0941 | |
Mearle E Meyer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1104 Tusculum Blvd, Ste 114, Greeneville, TN 37745 Phone: 833-500-9914 |