Active NPI
Ronald Neeper, M.D, PH.D
- Child & Adolescent Psychiatry Physician
- Ligonier, PA
National Provider Identifier
1265742217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- MD068245L
- Practice address
- 121 N Saint Clair St
Ligonier, PA 15658-1338 - Phone
- (412) 735-0523
- Fax
- (724) 238-7490
- NPI assigned
- Oct 8, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | MD068245L | PA | Primary |
Addresses
Primary practice location
121 N Saint Clair St
Ligonier, PA 15658-1338
Mailing address
121 N Saint Clair St
Ligonier, PA 15658-1338
Phone (412) 735-0523
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160615000953 | PA | Order and Referring Only - Psychiatry | 8527359942 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286496000000",
"number": "1265742217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 N SAINT CLAIR ST",
"city": "LIGONIER",
"state": "PA",
"postal_code": "156581338",
"telephone_number": "412-735-0523",
"fax_number": "724-238-7490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 N SAINT CLAIR ST",
"city": "LIGONIER",
"state": "PA",
"postal_code": "156581338",
"telephone_number": "412-735-0523",
"fax_number": "724-238-7490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEEPER",
"first_name": "RONALD",
"name_prefix": "Dr.",
"credential": "M.D, PH.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-10-08",
"last_updated": "2010-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "PA",
"license": "MD068245L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.