Jonathan Mark Letko, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0102208037 Issued in VA

Practice address

USA Meddac 11050 Mt Belvedere Blvd
Fort Drum, NY 13602-5004

Phone

(315) 772-1648

NPI assigned

Mar 4, 2022

Last updated

Jul 31, 2026By 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

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1646352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1750038246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P10506 EUPHRATES RIVER VALLEY RD, FORT DRUM, NY 13602",
            "city": "FORT DRUM",
            "state": "NY",
            "postal_code": "136025004",
            "telephone_number": "315-772-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "USA MEDDAC 11050 MT BELVEDERE BLVD",
            "city": "FORT DRUM",
            "state": "NY",
            "postal_code": "136025004",
            "telephone_number": "315-772-1648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LETKO",
        "first_name": "JONATHAN",
        "middle_name": "MARK",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-04",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102208037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Lee, RDN
• Brandon Lukas Lee, MS, RD, CSSD, CCRP
• Brooke Rita Leonelli, PH.D.
• Mark D. Lessard, PH.D.
• Mark E. Lester, P.T.
• William Lewis, DO
• Kyle Libby, DMD
• Shana Hensley Lilley, DPT
• Jennifer Nycole Lively-Pagliuca, LCSW, CADC
• Gregory Laurence Livingston, O.D.

• Family Medicine Physician in Fort Drum, NY
• Providers in Fort Drum, 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 Jul 31, 2026; 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.