John S Ledbetter, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

54518 Issued in MA

Practice address

75 Herrick St
Ste 219
Beverly, MA 01915

Phone

(978) 927-0714

Fax

(978) 927-9135

NPI assigned

Jul 21, 2006

Last updated

Apr 14, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

• North Shore Urological Assoc., Inc

  • Specialist
  • Beverly, MA
  • NPI 1083636567
  Authorized official Same address or phone

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428969600000",
    "number": "1437170263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 HERRICK ST",
            "address_2": "STE 219",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "01915",
            "telephone_number": "978-927-0714",
            "fax_number": "978-927-9135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 HERRICK ST",
            "address_2": "STE 219",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "01915",
            "telephone_number": "978-927-0714",
            "fax_number": "978-927-9135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDBETTER",
        "first_name": "JOHN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2015-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MA",
            "license": "54518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystal Lebrun
• David J Lebwohl, MD
• Leclair Dental,LLC
• Nicole Leclair, DMD
• Hannah Karoline Leclerc, LICSW
• Ledgewood Healthcare Corporation (Ledgewood Rehabilitation and Skilled Nursing Center)
• Ledgewood SNF LLC (Ledgewood Rehabilitation and Skilled Nursing Center)
• Danielle M Ledoux, M.D.
• Nicole E Lee Rocha
• Gayin Lee, MD

• Urology Physician in Beverly, MA
• Providers in Beverly, MA by specialty
• Urology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; 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.