Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ethan Latimer, MD

Individual provider Diagnostic Radiology Physician · NPI 1184086712

Ethan Latimer, MD is a Diagnostic Radiology in Fayetteville, Arkansas. Graduated from University of Arkansas College of Medicine in 2016, 10 years ago. Practices with Washington Regional Medical System, a 240-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
10
Trained at
University of Arkansas College of Medicine
Licensed in
AR
In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3215 N Northhills Blvd
Fayetteville, AR 72703-4424
Phone: (479) 463-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence E-11233 (AR)

Record details

NPI number1184086712
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 23, 2016
Last updated in NPPESNovember 4, 2022
Certification dateNovember 4, 2022
Mailing address3215 N Northhills Blvd, Fayetteville, AR 72703-4424

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Washington Regional Medical System — 240 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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