IndividualActive
Ronald Luethke, M.D.
NPI 1376518704 · Plastic and Reconstructive Surgery Physician · Bridgeport, WV
Provider details
- NPI number
- 1376518704
- Entity type
- Individual
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- D36862 (MD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(95/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
527 Medical Park Dr Ste 203
Bridgeport, WV 26330-9009
Phone: (681) 342-3190
Fax: (681) 342-3195
Street-level locationGet directions
Mailing address
527 Medical Park Dr Ste 400
Bridgeport, WV 26330-9010
Additional practice locations (1)
- 10710 Charter DrSuite 240Columbia, MD 21044-3128Phone: (410) 964-8287Fax: (410) 964-2761
Registry dates
- Enumerated
- 2006-02-21
- Last updated
- 2022-04-05
- Certified
- 2022-04-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.