Ted Willis Ledet, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G9144 Issued in TX

Practice address

4848 NE Stallings Dr
Suite 106
Nacogdoches, TX 75965-1239

Phone

(936) 569-0304

Fax

(936) 552-0232

NPI assigned

Aug 20, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• BHS Physicians Network, Inc

  • Durable Medical Equipment & Medical Supplies
  • Boerne, TX
  • NPI 1730079286
  NPD (past)
• BHS Specialty Network Inc

  • Cardiovascular Disease Physician
  • San Antonio, TX
  • NPI 1831492651
  NPD (past)
• Heart to Heart Cardiovascular Associates

  • Interventional Cardiology Physician
  • Nacogdoches, TX
  • NPI 1538304613
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277942400000",
    "number": "1164537247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4848 NE STALLINGS DRIVE",
            "address_2": "SUITE 106",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "75965",
            "telephone_number": "936-569-0304",
            "fax_number": "936-552-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4848 NE STALLINGS DR",
            "address_2": "SUITE 106",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651239",
            "telephone_number": "936-569-0304",
            "fax_number": "936-552-0232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDET",
        "first_name": "TED",
        "middle_name": "WILLIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2010-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "G9144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPI",
            "identifier": "123232401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000000GR74",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P000GR742",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "340001471",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Larry Laurich
• Katie Lauridsen, ATC, LAT
• David M. Lawson II, PH.D.
• McKenzie Ann Leblanc
• Janice Patrick Ledet, M.D.
• Hettie Legg, MA CCC SLP
• Lehmann Eye Center, PA
• Anna Elyse Lehmann, MD
• Robert Paul Lehmann, M.D.
• Michelle Kristen Leone, FNP-C

• Internal Medicine Physician in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.