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MEGAN CHRISTINA LATHAM PAC
NPI 1912364100
Physician Assistant - Medical in Grand Rapids, MI

Active since January 20, 2016
200 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503(616) 685-6781(616) 685-3064 Get Directions Write a Review

NPPES record last updated: February 15, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 15, 2016, Jan 20, 2016 (2 updates tracked since 2016).

About Megan Christina Latham Pac NPPES

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

MEGAN CHRISTINA LATHAM PAC (NPI 1912364100) is an individual medical provider in Grand Rapids, Michigan, licensed in Michigan (5601007649) and active in the NPI registry since January 2016.

NPPES Registry Identity

NPI1912364100
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMEGAN CHRISTINA LATHAMCredential: PAC
Location Address200 JEFFERSON AVE SEGrand Rapids, MI 49503-4502
Mailing AddressPo Box 3578Grand Rapids, MI 49501-3578 · (616) 685-6781 · Fax (616) 685-3064
Phone(616) 685-6781
Fax(616) 685-3064
Sole ProprietorNo
Enumeration DateJanuary 20, 2016
Last NPPES UpdateFebruary 15, 20162 updates tracked since enumeration
✔ NPI 1912364100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MI · 5601007649
200 JEFFERSON AVE SE, Grand Rapids, MI 49503
Open in Google Maps ↗

Other Names 1

Former Name (1)Megan Christina Hauck Pac

Other Providers at the Same Location NPPES 20

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

KATHARINE LIND THOMPSON PT
Physical Therapist
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 685-6264
ANNE MARIE TALBOT CRNA
Nurse Anesthetist, Certified Registered
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 685-6063
DR. ADAM MICHAEL ANDERSON MD
Emergency Medicine
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 685-5000
MARIA E DIMUSTO-POORTENGA MD
Pediatrics (Neonatal-Perinatal Medicine)
200 JEFFERSON AVE SE, NICU
GRAND RAPIDS, MI 49503
Kent County (616) 752-6554
THE BOUTIQUE AT MERCY HEALTH LACKS CANCER CENTER
Durable Medical Equipment & Medical Supplies
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 685-5030
MELISSA SUE HUDECZ MS, OTR/L
Occupational Therapist
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 685-6264
TIMOTHY RUSSELL LEONARD
Nurse Practitioner (Family)
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 465-5910
CAMRIA RENEE DEATON BSN, RN
Registered Nurse
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 685-5000

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 Megan Latham's NPI number?

The NPI number for Megan Latham is 1912364100. It was assigned to this individual provider in the NPPES registry on January 20, 2016. The provider is also known as Megan Christina Hauck Pac.

Where is Megan Latham located?

Megan Latham practices at 200 Jefferson Ave SE, Grand Rapids, MI 49503. The listed phone number is (616) 685-6781.

What is Megan Latham's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Megan Latham was last updated on February 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.