Active NPI
Ligonier Gynecology LLC
- Gynecology Physician
- Ligonier, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- MD-067284-L
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0017509900001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2066258 | Ligonier Gynecology LLC | Provider-performed microscopy | Sep 23, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.