Individual provider Active NPI

Larry B Wingard, M.D.

  • Internal Medicine Physician
  • Kittanning, PA
National Provider Identifier
1275638025
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD015910E Issued in PA
Practice address
100 Medical Arts BLDG
Suite 150
Kittanning, PA 16201-7135
Phone
(724) 543-5919
Fax
(724) 543-3544
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD015910E PA Primary

Addresses

Primary practice location

100 Medical Arts BLDG
Suite 150
Kittanning, PA 16201-7135

Mailing address

100 Medical Arts BLDG
Suite 150
Kittanning, PA 16201-7135
Phone (724) 543-5919

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

Practice roles

OrganizationSpecialtyStatusNew patients
Larry B. Wingard, M.D. Internal Medicine Past Accepting new patients
Armstrong County Memorial Hospital Past Accepting new patients
Health Associates of Western Pennsylvania P C Internal Medicine Past Accepting new patients

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275638025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MEDICAL ARTS BLDG",
            "address_2": "SUITE 150",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162017135",
            "telephone_number": "724-543-5919",
            "fax_number": "724-543-3544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL ARTS BLDG",
            "address_2": "SUITE 150",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162017135",
            "telephone_number": "724-543-5919",
            "fax_number": "724-543-3544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINGARD",
        "first_name": "LARRY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD015910E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kittanning, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.