Active NPI
Amado Bamba Lugue Jr., MD
- Family Medicine Physician
- Pleasant Gap, PA
National Provider Identifier
1386826865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD032224L
- Practice address
- 265 Steeplechase Dr
Pleasant Gap, PA 16823-9624 - Phone
- (814) 359-2199
- NPI assigned
- Nov 27, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD032224L | PA | Primary |
Addresses
Primary practice location
265 Steeplechase Dr
Pleasant Gap, PA 16823-9624
Mailing address
265 Steeplechase Dr
Pleasant Gap, PA 16823-9624
Phone (814) 359-2199
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD032224L | PA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196121600000",
"number": "1386826865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "265 STEEPLECHASE DR",
"city": "PLEASANT GAP",
"state": "PA",
"postal_code": "168239624",
"telephone_number": "814-359-2199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "265 STEEPLECHASE DR",
"city": "PLEASANT GAP",
"state": "PA",
"postal_code": "168239624",
"telephone_number": "814-359-2199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUGUE",
"first_name": "AMADO",
"middle_name": "BAMBA",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-27",
"last_updated": "2007-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD032224L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pleasant Gap, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.