Individual provider Active NPI

Ronald Neeper, M.D, PH.D

  • Child & Adolescent Psychiatry Physician
  • Ligonier, PA
National Provider Identifier
1265742217
Registry record updated Oct 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
MD068245L Issued in PA
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

Updated by the provider on Oct 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160615000953 PA Order and Referring Only - PsychiatryPractitioner - 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": []
}

Other providers in Ligonier, PA

Sources for this page

Verify at the official NPI Registry.