Michael a. Lettrick MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

189372 Issued in NY

Legal business name

MICHAEL A. LETTRICK MD PC

Practice address

1528 Columbia Tpke
Castleton, NY 12033-9584

Phone

(518) 477-1191

Fax

(518) 477-1255

NPI assigned

Nov 17, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Michael Allen Lettrick, MDNPI 1447232855

Title

Ceo

Phone

(518) 477-1191

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Allen Lettrick, MD

  • Family Medicine Physician
  • Castleton, NY
  • NPI 1447232855
  NPD Authorized official

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276732800000",
    "number": "1326020181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 COLUMBIA TPKE",
            "city": "CASTLETON",
            "state": "NY",
            "postal_code": "120339584",
            "telephone_number": "518-477-1191",
            "fax_number": "518-477-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 COLUMBIA TPKE",
            "city": "CASTLETON",
            "state": "NY",
            "postal_code": "120339584",
            "telephone_number": "518-477-1191",
            "fax_number": "518-477-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A. LETTRICK MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-17",
        "last_updated": "2010-06-17",
        "status": "A",
        "authorized_official_last_name": "LETTRICK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "518-477-1191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "189372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn McTarnaghan
• Nicole Meissner, MS CCC SLP
• Kristin Menegio, COTA/L
• Carlos Menjivar
• Sabrina Meza, MS
• Michael a. Thomson (Greenbush Internal Medicine)
• Hani Midani, MD
• Mariann Theresa Molocznik, OTRL
• Christopher Monticello
• Steven Douglas Morton, D.M.D.

• Family Medicine Physician in Castleton, NY
• Providers in Castleton, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.