Active NPI
Douglas Wister Ligon, M.D.
- Emergency Medical Services (Emergency Medicine) Physician
- Erin, TN
National Provider Identifier
1376579730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- MD6383
- Practice address
- 4895 East Main St
Ste a
Erin, TN 37061 - Phone
- (931) 289-2929
- Fax
- (931) 289-2930
- NPI assigned
- Jun 25, 2006
- Last updated
- Jan 25, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | MD6383 | TN | Primary |
Addresses
Primary practice location
4895 East Main St
Ste a
Erin, TN 37061
Mailing address
PO Box 268
Erin, TN 37061-0268
Phone (931) 289-2929
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)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD6383 | TN | MD | Emergency Medical Services (Emergency Medicine) Physician |
| 6383 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centennial Heart LLC | Past | Accepting new patients | |
| Omnipoint Surgical Associates LLC | Past | Accepting new patients | |
| Trinity Hospital LLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/9865/brand/1/csg/21/fhir/r4
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485302400000",
"number": "1376579730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 268",
"city": "ERIN",
"state": "TN",
"postal_code": "370610268",
"telephone_number": "931-289-2929",
"fax_number": "931-289-2930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4895 EAST MAIN ST",
"address_2": "STE A",
"city": "ERIN",
"state": "TN",
"postal_code": "37061",
"telephone_number": "931-289-2929",
"fax_number": "931-289-2930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIGON",
"first_name": "DOUGLAS",
"middle_name": "WISTER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-25",
"last_updated": "2017-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "TN",
"license": "MD6383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Erin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.