Paul Thomas Latterman, MD
Radiology, Diagnostic Radiology in Phoenix, AZ. Individual provider (NPI-1).
NPI number1114488376
StatusActive
Last updated in NPPESMar 11, 2025
Details
- NPI
- 1114488376
- Entity type
- Individual (NPI-1)
- Name
- Paul Thomas Latterman
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 28, 2019
- Certification date
- Mar 11, 2025
- Last updated
- Mar 11, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - DIAGNOSTIC RADIOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | 75523 | AZ | Yes |
| 2085R0202X | Radiology, Diagnostic Radiology | 2024-03405 | NC |
Practice location
2601 E Roosevelt StPhoenix, AZ 85008-4973
Phone 602-344-5011
Mailing address
2929 E Thomas RdPhoenix, AZ 85016-8034
Other practice locations
1 Medical Center Blvd
Winston Salem, NC 27157-1438
Winston Salem, NC 27157-1438
Phone 336-716-2011
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