Organization Active NPI

Jesus Ligot MD LLC

  • Adult Mental Health Clinic/Center
  • Chesterfield, MO
National Provider Identifier
1326693904
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
JESUS LIGOT MD LLC
Practice address
100 Chesterfield Business Pkwy Ste 200
Chesterfield, MO 63005-1271
Phone
(808) 212-5928
Fax
(808) 909-2004
NPI assigned
Aug 9, 2019
Last updated
Aug 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Authorized official

Name
Dr. Jesus Ligot Jr., MDNPI 1083839070
Title
Psychiatrist
Phone
(302) 747-0987

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU Primary

Addresses

Primary practice location

100 Chesterfield Business Pkwy Ste 200
Chesterfield, MO 63005-1271

Mailing address

500 N Main St Ste 620
Roswell, NM 88201-4767
Phone (302) 747-0987

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL buddyligot@yahoo.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190920000428 MO Part B Supplier - Clinic/Group Practice 2365772142 Receives reassigned benefits from 1 practitioner
Practice locations: Chesterfield, MO

National Provider Directory

National Provider Directory

Locations

1201 Bellevue Ave
Saint Louis, MO 63117
Phone (314) 647-4488

500 N Main St
Ste 620
Roswell, NM 88201
Phone (505) 622-8827

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660003200000",
    "number": "1326693904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N MAIN ST STE 620",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882014767",
            "telephone_number": "302-747-0987",
            "fax_number": "808-909-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CHESTERFIELD BUSINESS PKWY STE 200",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051271",
            "telephone_number": "808-212-5928",
            "fax_number": "808-909-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESUS LIGOT MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-09",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A",
        "authorized_official_last_name": "LIGOT",
        "authorized_official_first_name": "JESUS",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "302-747-0987",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "buddyligot@yahoo.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 Chesterfield Business Pkwy Ste 200",
            "city": "Chesterfield",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630051271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.