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Dr. John S Ledbetter, MD

Urology in Beverly, MA. Individual provider (NPI-1).

NPI number1437170263
StatusActive
Last updated in NPPESApr 14, 2015

Details

NPI
1437170263
Entity type
Individual (NPI-1)
Name
Dr. John S Ledbetter
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jul 21, 2006
Last updated
Apr 14, 2015

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208800000X Urology54518MAYes

Practice location

75 Herrick St
Ste 219
Beverly, MA 01915

Phone 978-927-0714 · Fax 978-927-9135

Mailing address

75 Herrick St
Ste 219
Beverly, MA 01915

Phone 978-927-0714 · Fax 978-927-9135

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Urology Physician providers in Beverly, MA

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