Individual provider Active NPI

Courtney Dugan, M.D.

  • Family Medicine Physician
  • Leechburg, PA
National Provider Identifier
1093077893
Registry record updated Aug 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MT202163 Issued in PA
Practice address
62 Greenbriar Dr
Suite 1
Leechburg, PA 15656-8209
Phone
(724) 845-7765
Fax
(724) 845-8418
NPI assigned
Jun 8, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MT202163 PA Primary

Addresses

Primary practice location

62 Greenbriar Dr
Suite 1
Leechburg, PA 15656-8209

Mailing address

62 Greenbriar Dr
Suite 1
Leechburg, PA 15656-8209
Phone (724) 845-7765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150805006624 PA Practitioner - Family Practice 3274847280 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MT202163PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Excela Health Physician Practices, Inc. Family Medicine CurrentSince May 1, 2021 Accepting new patients
Excela Health Physician Practices, Inc Current Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince May 1, 2021 Accepting new patients

Locations

6521 State Route 22
Delmont, PA 15626
Phone (724) 468-8764

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439251200000",
    "number": "1093077893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 GREENBRIAR DR",
            "address_2": "SUITE 1",
            "city": "LEECHBURG",
            "state": "PA",
            "postal_code": "156568209",
            "telephone_number": "724-845-7765",
            "fax_number": "724-845-8418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 GREENBRIAR DR",
            "address_2": "SUITE 1",
            "city": "LEECHBURG",
            "state": "PA",
            "postal_code": "156568209",
            "telephone_number": "724-845-7765",
            "fax_number": "724-845-8418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGAN",
        "first_name": "COURTNEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-08",
        "last_updated": "2015-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT202163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leechburg, PA

Sources for this page

Verify at the official NPI Registry.