Peter Brewster Letarte, M.D.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

35125071 Issued in OH

Practice address

30 E Apple St Ste 5254a
Dayton, OH 45409-2939

Phone

(937) 208-4200

Fax

(937) 208-2678

NPI assigned

Aug 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pletarte1100957@valleyhealth.direct-ci.com

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.

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• Mercy Health Physicians Lorain Specialty Care LLC

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• Mercy Health Physicians Lorain, LLC

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  Neurological Surgery

  NPD
• Mercy Health Physicians, Lorain, LLC

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• Premier Health Specialists Inc

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• Premier Health Specialists Inc

  • Foot & Ankle Surgery Podiatrist
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  NPD

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1568579688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 KETTERING BLVD BLDG B3",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391924",
            "telephone_number": "937-991-3188",
            "fax_number": "937-223-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E APPLE ST STE 5254A",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454092939",
            "telephone_number": "937-208-4200",
            "fax_number": "937-208-2678"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "762 S Cleveland Massillon Rd",
            "address_purpose": "LOCATION",
            "city": "Fairlawn",
            "state": "OH",
            "postal_code": "443333024",
            "country_code": "US",
            "telephone_number": "330-665-4100",
            "fax_number": "330-665-6748",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "762 S Cleveland Massillon Rd",
            "address_purpose": "LOCATION",
            "city": "Fairlawn",
            "state": "OH",
            "postal_code": "443333024",
            "country_code": "US",
            "telephone_number": "330-665-4100",
            "fax_number": "330-665-6748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LETARTE",
        "first_name": "PETER",
        "middle_name": "BREWSTER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IL",
            "license": "036-071264",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OH",
            "license": "35125071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0117951",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holly Lesko, CDCA
• Tayshell Leslie
• Portia Renee Lespere, LSW
• Natalie A Lester, MD
• John David Lestingi, SCHOOL PSYCHOLOGIST
• Amy Letts, RN
• Katie Levatt
• Imani Alyshia Level
• Jonathan P Levelle, MD
• Betty Levier-Whittaker, RN

• Neurological Surgery Physician in Dayton, OH
• Providers in Dayton, OH by specialty
• Neurological Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.