Ronald Luethke MD PA

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

D0036862 Issued in MD

Legal business name

RONALD LUETHKE MD PA

Practice address

10710 Charter Dr
Suite 240
Columbia, MD 21044-3128

Phone

(410) 964-8287

Fax

(410) 964-2761

NPI assigned

Jan 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ronald William Luethke, M.D.

Title

President

Phone

(410) 964-8287

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259798400000",
    "number": "1710024716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10710 CHARTER DR",
            "address_2": "SUITE 240",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443128",
            "telephone_number": "410-964-8287",
            "fax_number": "410-964-2761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10710 CHARTER DR",
            "address_2": "SUITE 240",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443128",
            "telephone_number": "410-964-8287",
            "fax_number": "410-964-2761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD LUETHKE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2009-12-03",
        "status": "A",
        "authorized_official_last_name": "LUETHKE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-964-8287",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MD",
            "license": "D0036862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "531561100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cathy C Romeo, N.P.,PH.D.
• Jess Romeo, PMHNP
• Alisson Stefany Romero Avalos
• Mayeli Romero
• Stephen Romig
• Michael E Ronan, PAC
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• Fnu Roohi Baig
• Madison Ashley Root
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• Plastic and Reconstructive Surgery Physician in Columbia, MD
• Providers in Columbia, MD by specialty
• Plastic and Reconstructive Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2009; 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.