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

Mr. Ricky Dwayne Latham, MD

Individual provider Cardiovascular Disease Physician · NPI 1477553139

Mr. Ricky Dwayne Latham, MD is an Interventional Cardiology in Idaho Falls, Idaho. Graduated from Louisiana State University School of Medicine in Shreveport in 1979, 47 years ago. Practices with Bmh Inc, a 136-clinician group and accepts Medicare assignment. Licensed in Idaho and Oregon.

Years since qualifying
47
Trained at
Louisiana State University School of Medicine in Shreveport
Licensed in
ID, OR
In the registry since
2005
Specialties on file
2
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

2001 Valenica Dr Ste 201
Idaho Falls, ID 83404
Phone: (208) 524-9400
Fax: (208) 524-9401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence MD170342 (OR)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence M6887 (ID)

Record details

NPI number1477553139
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 26, 2005
Last updated in NPPESFebruary 13, 2019

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Also practisesINTERNAL MEDICINE
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated 1979 (47 years in practice)
Group practice Bmh Inc — 136 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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