Dennis P Legolvan, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

2009-01866 Issued in NC

Practice address

1135 Carthage St
Sanford, NC 27330-4162

Phone

(919) 774-2270

NPI assigned

Jul 7, 2005

Last updated

Jan 19, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• The Orthopaedic Network, Inc.

  • Surgery Physician
  • Toledo, OH
  • NPI 1518070804
  NPD (past)
• Toledo Surgical Specialists, Inc

  • Surgery Physician
  • Toledo, OH
  • NPI 1497792683
  NPD (past)

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326931200000",
    "number": "1013915776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6241",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240686241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 CARTHAGE ST",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273304162",
            "telephone_number": "919-774-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGOLVAN",
        "first_name": "DENNIS",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2012-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NC",
            "license": "2009-01866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rhonda Antointte Lee
• Shirley-Ann Renee Lee, ATC
• Legacy Health Care
• Legacy Professional Services
• Daniel B Legoff, PHD
• William C Leliever, MD
• Nicholas Grant Lemmon, PLCSW
• Kenneth George Lepley Jr.
• Jennifer Henry Lewis, PA-C
• Jessica Lewis, RN

• Anatomic Pathology & Clinical Pathology Physician in Sanford, NC
• Providers in Sanford, NC by specialty
• Anatomic Pathology & Clinical Pathology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; 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.