MS. MILDRED B LATHAM PA-C
NPI 1417159179
Physician Assistant in Tulsa, OK

Active since June 04, 2007
3606 N CINCINNATI AVE, L.L.C., TULSA, OK 74106(918) 428-5373(918) 428-8235 Get Directions Write a Review

NPPES record last updated: August 12, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Mildred B Latham Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MILDRED B LATHAM PA-C (NPI 1417159179) is an individual physician assistant in Tulsa, Oklahoma, licensed in Oklahoma (1751) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1417159179
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. MILDRED B LATHAMCredential: PA-C
Location Address3606 N CINCINNATI AVE, L.L.C.Tulsa, OK 74106-1536
Mailing Address3606 N Cincinnati Ave, L.l.c.Tulsa, OK 74106-1536 · (918) 428-5373 · Fax (918) 428-8235
Fax(918) 428-8235
Sole ProprietorYes
Enumeration DateJune 4, 2007
Last NPPES UpdateAugust 12, 2008
NPI 1417159179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in OK · 1751 Licensed in IL · 085002908
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3606 N CINCINNATI AVE, Tulsa, OK 74106

Other Identifiers 2

Medicare UPIN1415179179ND
Medicare UPIN1417159179OK

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies
3606 N CINCINNATI AVE
TULSA, OK 74106
Clinic/Center (Dental)
3606 N CINCINNATI AVE
TULSA, OK 74106
Clinic/Center
3606 N CINCINNATI AVE
TULSA, OK 74106
Radiology (Diagnostic Radiology)
3606 N CINCINNATI AVE
TULSA, OK 74106

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mildred Latham's NPI number?

The NPI number for Mildred Latham is 1417159179. It was assigned to this individual provider in the NPPES registry on June 4, 2007.

Where is Mildred Latham located?

Mildred Latham practices at 3606 N Cincinnati Ave L.L.C., Tulsa, OK 74106. The listed phone number is (918) 428-5373.

What is Mildred Latham's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Mildred Latham was last updated on August 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.