Organization Active NPI

Ligonier Gynecology LLC

  • Gynecology Physician
  • Ligonier, PA
National Provider Identifier
1457796823
Registry record updated Apr 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
MD-067284-L Issued in PA
Legal business name
LIGONIER GYNECOLOGY LLC
Practice address
113 S Fairfield St
Ligonier, PA 15658-1163
Phone
(724) 691-6489
NPI assigned
Apr 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2013

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

Authorized official

Name
Dr. Diana F Denning, M.D.NPI 1962652065
Title
Owner/Physician
Phone
(724) 691-6489

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
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X MD-067284-L PA Primary

Addresses

Primary practice location

113 S Fairfield St
Ligonier, PA 15658-1163

Mailing address

513 Route 259
Ligonier, PA 15658-2468
Phone (724) 691-6489

Other identifiers 1

IdentifierTypeStateIssuer
0017509900001MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131008000302 PA Part B Supplier - Clinic/Group Practice 2264666114 Receives reassigned benefits from 1 practitioner
Practice locations: Johnstown, PA; Windber, PA; Ligonier, PA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2066258Ligonier Gynecology LLC113 S Fairfield Street Suite 2, Ligonier, PA 15658Provider-performed microscopySep 23, 2027

National Provider Directory

National Provider Directory

Locations

113 S Fairfield St
Ste 2
Ligonier, PA 15658
Phone (724) 259-3430

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1457796823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 ROUTE 259",
            "city": "LIGONIER",
            "state": "PA",
            "postal_code": "156582468",
            "telephone_number": "724-691-6489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 S FAIRFIELD ST",
            "city": "LIGONIER",
            "state": "PA",
            "postal_code": "156581163",
            "telephone_number": "724-691-6489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGONIER GYNECOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-30",
        "last_updated": "2013-04-30",
        "status": "A",
        "authorized_official_last_name": "DENNING",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "724-691-6489",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "PA",
            "license": "MD-067284-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017509900001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ligonier, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; 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.