Steven Alan Ledtke, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301043055 Issued in MI

Practice address

875 Michigan Ave
Marysville, MI 48040-1404

Phone

(810) 364-8600

Fax

(810) 364-4346

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Henry Ford Health River District Hospital

  • Family Medicine Physician
  • East China, MI
  • NPI 1265486245
  NPD (past)
• Henry Ford Health River District Hospital

  • General Acute Care Hospital
  • East China, MI
  • NPI 1619941333
  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": "1291161600000",
    "number": "1396850459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 MICHIGAN AVE",
            "city": "MARYSVILLE",
            "state": "MI",
            "postal_code": "480401404",
            "telephone_number": "810-364-8600",
            "fax_number": "810-364-4346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 MICHIGAN AVE",
            "city": "MARYSVILLE",
            "state": "MI",
            "postal_code": "480401404",
            "telephone_number": "810-364-8600",
            "fax_number": "810-364-4346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDTKE",
        "first_name": "STEVEN",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2010-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301043055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1646876",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shane Michael Langolf, DMD
• Maureen Laparl
• Linda Mildred Larrabee, LMSW
• Jaclyn Marie Lavere, LMSW
• Danielle L Ledesma
• Maria Carmen Lee
• Regina N Lee
• Victoria Leitch
• Bryanna G Lentz
• Lisa Marie Leppek

• Family Medicine Physician in Marysville, MI
• Providers in Marysville, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.