Active NPI
Ladonna H Fuge, MD
- Family Medicine Physician
- Johnsonburg, PA
National Provider Identifier
1093704033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD036927E
- Practice address
- 284 Terra Cotta Rd
Johnsonburg, PA 15845 - Phone
- (412) 310-0926
- NPI assigned
- Oct 20, 2005
- Reactivated
- Sep 10, 2018
- Last updated
- Sep 27, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD036927E | PA | Primary |
Addresses
Primary practice location
284 Terra Cotta Rd
Johnsonburg, PA 15845
Mailing address
284 Terra Cotta Rd
Johnsonburg, PA 15845
Phone (412) 310-0926
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0011284040003 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD036927E | PA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538006400000",
"number": "1093704033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "284 TERRA COTTA RD",
"city": "JOHNSONBURG",
"state": "PA",
"postal_code": "15845",
"telephone_number": "412-310-0926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "284 TERRA COTTA RD",
"city": "JOHNSONBURG",
"state": "PA",
"postal_code": "15845",
"telephone_number": "412-310-0926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUGE",
"first_name": "LADONNA",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-20",
"last_updated": "2018-09-27",
"deactivation_date": "2016-08-22",
"reactivation_date": "2018-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD036927E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0011284040003",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Johnsonburg, PA
- Elk Regional Health Center (Johnsonburg Rural Health Center)
- Elk Regional Professional Group Inc (Penn Highlands Professional Group Johnsonburg)
- Elk Regional Professional Group, Inc
- Elk Regional Professional Group, Inc.
- Elk Regional Professional Group, Inc.
- Deanna Marie Gardner, PTA
- Tanya Gayley, RDH, PHDHP
- Debra Jacob, RDHBS, PHDHP
- Johnsonburg Area School District
- Johnsonburg Dental Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.