NPIMap

Organization Active NPI

Luisito S Dingcong MD PC

  • Psychiatry Physician
  • Clearfield, PA
National Provider Identifier
1396968871
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD052607L Issued in PA
Legal business name
LUISITO S DINGCONG MD PC
Practice address
1033 Turnpike Ave
Clearfield, PA 16830-3061
Phone
(814) 765-2137
Fax
(814) 768-2084
NPI assigned
Apr 11, 2007
Last updated
Jan 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2014

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

Authorized official

Name
Dr. Luisito S. Dingcong, MDNPI 1841282738
Title
MD
Phone
(814) 834-9670

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X MD052607L PA Primary

Addresses

Primary practice location

1033 Turnpike Ave
Clearfield, PA 16830-3061

Mailing address

PO Box 904
Saint Marys, PA 15857-0904
Phone (814) 834-9670

Other identifiers 2

IdentifierTypeStateIssuer
0014738630006MedicaidPA
100298OtherPABLUE SHIELD

National Provider Directory

National Provider Directory

Locations

100 High Point Dr
Kane, PA 16735
Phone (814) 837-6706

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": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390867200000",
    "number": "1396968871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 904",
            "city": "SAINT MARYS",
            "state": "PA",
            "postal_code": "158570904",
            "telephone_number": "814-834-9670",
            "fax_number": "814-834-1855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 TURNPIKE AVE",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168303061",
            "telephone_number": "814-765-2137",
            "fax_number": "814-768-2084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUISITO S DINGCONG MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2014-01-28",
        "status": "A",
        "authorized_official_last_name": "DINGCONG",
        "authorized_official_first_name": "LUISITO",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "814-834-9670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD052607L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014738630006",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "100298",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearfield, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; 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.