Individual provider Active NPI

Robert E Ledwith, PA

  • Pediatrics Physician
  • Sandwich, MA
National Provider Identifier
1881876621
Registry record updated Mar 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
627 Issued in MA
Practice address
68B Route 6a
Sandwich, MA 02563-1719
Phone
(508) 833-0269
Fax
(508) 833-1467
NPI assigned
Dec 4, 2007
Last updated
Mar 7, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 627 MA Primary

Addresses

Primary practice location

68B Route 6a
Sandwich, MA 02563-1719

Mailing address

PO Box 1719
68B Route 6a
Sandwich, MA 02563-1719
Phone (508) 833-0269

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
627MAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Briarpatch Pediatrics Pediatrics Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457308800000",
    "number": "1881876621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1719",
            "address_2": "68B ROUTE 6A",
            "city": "SANDWICH",
            "state": "MA",
            "postal_code": "025631719",
            "telephone_number": "508-833-0269",
            "fax_number": "508-833-1467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68B ROUTE 6A",
            "city": "SANDWICH",
            "state": "MA",
            "postal_code": "025631719",
            "telephone_number": "508-833-0269",
            "fax_number": "508-833-1467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDWITH",
        "first_name": "ROBERT",
        "middle_name": "E",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-04",
        "last_updated": "2016-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandwich, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; 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.