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DR. RONALD WILLIAM LUETHKE M.D.
NPI 1376518704
Surgery - Plastic and Reconstructive Surgery in Bridgeport, WV

Active since February 21, 2006PECOS Enrolled
527 MEDICAL PARK DR STE 203, BRIDGEPORT, WV 26330(681) 342-3190(681) 342-3195 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 5, 2022, Jan 13, 2021, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Ronald William Luethke M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RONALD WILLIAM LUETHKE M.D. (NPI 1376518704) is an individual plastic and reconstructive surgery provider in Bridgeport, West Virginia, licensed in West Virginia (25755) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Columbia.

NPPES Registry Identity

NPI1376518704
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameDR. RONALD WILLIAM LUETHKECredential: M.D.
Location Address527 MEDICAL PARK DR STE 203Bridgeport, WV 26330-9009
Mailing Address527 Medical Park Dr Ste 400Bridgeport, WV 26330-9010 · (681) 342-3190 · Fax (681) 342-3195
Phone(681) 342-3190
Fax(681) 342-3195
Sole ProprietorNo
Enumeration DateFebruary 21, 2006
Last NPPES UpdateApril 5, 20224 updates tracked since enumeration
NPPES CertifiedApril 5, 2022
✔ NPI 1376518704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Licenses✔ Licensed in WV · 25755✔ Licensed in MD · D36862
Definition

A surgeon who specializes in plastic and reconstructive surgery.

Also ListedPlastic SurgeryTaxonomy 208200000X · License D36862 (MD)
527 MEDICAL PARK DR STE 203, Bridgeport, WV 26330
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Secondary Practice Location 1

Location 110710 Charter Dr, Suite 240Columbia, MD 21044-3128 · Phone (410) 964-8287 · Fax (410) 964-2761

Other Identifiers 1

Medicaid531561100MD

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ronald William Luethke M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

UNITED HOSPITAL CENTER
Plastic Surgery
527 MEDICAL PARK DR STE 203
BRIDGEPORT, WV 26330
Harrison County (681) 342-3190
CASSIDY SHAE PINION
Physician Assistant
527 MEDICAL PARK DR STE 203
BRIDGEPORT, WV 26330
Harrison County (681) 342-3190

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ronald Luethke's NPI number?

The NPI number for Ronald Luethke is 1376518704. It was assigned to this individual provider in the NPPES registry on February 21, 2006.

Where is Ronald Luethke located?

Ronald Luethke practices at 527 Medical Park Dr Ste 203, Bridgeport, WV 26330. The listed phone number is (681) 342-3190.

What is Ronald Luethke's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Ronald Luethke enrolled in Medicare?

Yes. Ronald Luethke is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ronald Luethke was last updated on April 5, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.