Ignatius Family Medicine & Wellness LTD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

IGNATIUS FAMILY MEDICINE & WELLNESS LTD

Practice address

90 Beaver Dr Ste 121D
Du Bois, PA 15801-2441

Phone

(814) 503-4837

NPI assigned

May 27, 2022

Organization subpart

No

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

Authorized official

Name

Nicole Ignatius, DONPI 1114227683

Title

DO

Phone

(814) 503-4837

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole Ignatius, D.O.

  • Family Medicine Physician
  • Du Bois, PA
  • NPI 1114227683

  Family Medicine, PA

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1653609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703116800000",
    "number": "1326787409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 BEAVER DR STE 121D",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 BEAVER DR STE 121D",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012441",
            "telephone_number": "814-503-4837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGNATIUS FAMILY MEDICINE & WELLNESS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-27",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A",
        "authorized_official_last_name": "IGNATIUS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "DO",
        "authorized_official_telephone_number": "814-503-4837",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pao Y Hsiao, LDN
• Leanne N. Huey, B. S.
• Emily Hulse, M.A, NCC, LPC
• Chase Husted
• Clark Husted, DPT
• Jason Lee Ignatius, DO
• Nicole Ignatius, D.O.
• Paul F Ignatius, MD
• Angelo Illuzzi, DO
• Pamela L Ingram, CRNP

• All providers in Du Bois, PA
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.