DR. PETER BREWSTER LETARTE (NPI# 1568579688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568579688 |
| Entity Type | Individual |
| Full Name | DR. PETER BREWSTER LETARTE |
| Credential | M.D. |
| Practice Address |
30 E Apple St Ste 5254a Dayton OH 45409-2939 |
| Mailing Address |
3170 Kettering Blvd Bldg B3 Moraine OH 45439-1924 |
| Practice Telephone | 9372084200 |
| Practice Fax Number | 9372082678 |
| Mailing Telephone | 9379913188 |
| Mailing Fax Number | 9372239811 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 35125071 | OH | Allopathic & Osteopathic Physicians |
| N | 207T00000X | Neurological Surgery | 036-071264 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0117951 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 762 S Cleveland Massillon Rd, Fairlawn, OH 443333024 | 3306654100 | 3306656748 |
| Street Address |
30 E APPLE ST STE 5254A |
| City | DAYTON |
| State | OH |
| Zip Code | 45409-2939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710979000 | Gnan N Thakore | Internal Medicine | 30 E Apple St Ste 5254a, Dayton, OH 45409 | 2005-08-22 |
| 1366942096 | Anuradha Surya Devara | Physician Assistant | 30 E Apple St Ste 5254a, Dayton, OH 45409-2939 | 2018-02-19 |
| 1598289928 | Cynthia Maria Schwartz | Clinical Nurse Specialist | 30 E Apple St Ste 5254a, Dayton, OH 45409 | 2017-07-27 |
| 1548718802 | Daniel Scott Johnstone | Physician Assistant | 30 E Apple St Ste 5254a, Dayton, OH 45409-2939 | 2016-09-15 |
| 1851784359 | Krischelle Panganiban Rowland | Nurse Practitioner | 30 E Apple St Ste 5254a, Dayton, OH 45409-2939 | 2015-03-09 |
| 1023419041 | Sarah Hendrickson | Nurse Practitioner | 30 E Apple St Ste 5254a, Dayton, OH 45409-2939 | 2014-09-09 |
| 1063848240 | Michael Kentris | Psychiatry & Neurology | 30 E Apple St Ste 5254a, Dayton, OH 45409-2939 | 2013-09-19 |
| 1144561903 | Lisa Renee Meiring | Clinical Nurse Specialist | 30 E Apple St Ste 5254a, Dayton, OH 45409-2939 | 2013-03-04 |
| 1013288364 | Jessica Lynn Galli Robertson | Physician Assistant | 30 E Apple St Ste 5254a, Dayton, OH 45409 | 2012-01-18 |
| 1811273113 | Brandi Nicole Bell | Physician Assistant | 30 E Apple St Ste 5254a, Dayton, OH 45409-2939 | 2011-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487276457 | Matthew R Schaeffer | Surgery | 128 E Apple St., Wche 7th Floor, Dayton, OH 45409 | 2020-05-13 |
| 1699237545 | Elizabeth Joan Hudson | Student in an Organized Health Care Education/Training Program | 1 Wyoming Street Miami Valley Hospital Medical Educatio, Dayton, OH 45409 | 2019-04-01 |
| 1760941066 | Courtney Lyn Johnson | Surgery | 128 East Apple Street, Wche 7th Floor, Dayton, OH 45409 | 2019-03-16 |
| 1477057529 | Adam Joseph Langer | Student in an Organized Health Care Education/Training Program | 128 E. Apple St Suite 3800, Wright State University Dept of Ob/gyn, Dayton, OH 45409 | 2018-03-22 |
| 1659870939 | Timothy Wall | Student in an Organized Health Care Education/Training Program | 128 East Apple St., 2nd Floor, Dayton, OH 45409 | 2018-02-01 |
| 1124551411 | Adam Schmerge Deardorff | Student in an Organized Health Care Education/Training Program | 30 E Apple St Ste 6257, Dayton, OH 45409 | 2017-04-04 |
| 1205205358 | Kelby Snorf | Physician Assistant | 30 E Apple Street, Suite 3300, Dayton, OH 45409 | 2015-09-18 |
| 1689054223 | Jessica Ezinne Ugwu | Family Medicine | 30 E Apple St., Suite Nw 3300, Dayton, OH 45409 | 2015-06-08 |
| 1679983084 | Jude Anneryan Cohen | Registered Nurse | 1200 W. Dorothy Lane, Southdale Elementary School, Kettering, OH 45409 | 2014-05-07 |
| 1730517087 | Jesse Wayne Clark | Counselor | 65 Grady Ct, Dayton, OH 45409 | 2013-10-24 |
| Find all providers in zip 45409 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467894790 | James F. Sheridan | Neurological Surgery | 235 Park Rd, Dayton, OH 45419 | 2013-07-29 |
| 1487843470 | Dennis E Mcclure Md Inc | Neurological Surgery | 8654 N Main Street, Dayton, OH 45415-1328 | 2007-10-16 |
| 1427276948 | Michael Peter Verdon | Neurological Surgery | 8805 N Main St, Dayton, OH 45415-1333 | 2007-04-22 |
| 1962496364 | Dennis E Mcclure | Neurological Surgery | 8654 N Main St, Dayton, OH 45415-1328 | 2005-08-31 |
| 1861966434 | Dayton Neurologic Associates LLC | Neurological Surgery | 8805 N Main St, Dayton, OH 45415-1333 | 2019-01-17 |
| 1972056554 | Shobhan Vachhrajani | Neurological Surgery | 1 Childrens Plz, Dayton, OH 45404 | 2016-07-29 |
| 1174948434 | Thomas F. Goodall, D. O., Inc. | Neurological Surgery | 425 W Grand Ave, Suite 3003, Dayton, OH 45405-4775 | 2014-02-24 |
| 1609110824 | Premier Health Specialists Inc | Neurological Surgery | 30 E Apple St, Suite 5254a, Dayton, OH 45409-2939 | 2012-11-15 |
| 1053606459 | James Willard Robbins | Neurological Surgery | 4881 Sugar Maple Dr, Dayton, OH 45433-5529 | 2011-06-14 |
| 1891004339 | Kambiz Kamian | Neurological Surgery | 1 Childrens Plz, Dayton, OH 45404-1815 | 2010-10-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.