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

Q: 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.

Q: What is Megan Latham's specialty?

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

Q: 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.

Active since January 20, 2016PECOS Enrolled

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: August 02, 2026.

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

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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. She is enrolled in Medicare PECOS.

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

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Other Names 1

Former Name (1)Megan Christina Hauck Pac

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Megan Christina Latham Pac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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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.

Is Megan Latham enrolled in Medicare?

Yes. Megan Latham is registered in the Medicare PECOS enrollment system.

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.