NPIMap

Organization Active NPI

Ladiga Medical, LLC

  • Legal Medicine
  • Jacksonville, AL
National Provider Identifier
1609933514
Registry record updated Nov 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
7858 Issued in AL
Legal business name
LADIGA MEDICAL, LLC
Practice address
1460 2ND Ave SW # a
Jacksonville, AL 36265-3358
Phone
(256) 435-2180
Fax
(256) 435-9525
NPI assigned
Jan 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2008

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

Authorized official

Name
Penny E Newton
Title
Office Manager
Phone
(256) 435-2180

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193200000X MULTI-SPECIALTY GROUP 173000000X 7858 AL Primary
Legal MedicineGroup: 193200000X MULTI-SPECIALTY GROUP 173000000X 9644 AL

Addresses

Primary practice location

1460 2ND Ave SW # a
Jacksonville, AL 36265-3358

Mailing address

1460 A Second Ave SW
Jacksonville, AL 36265
Phone (256) 435-2180

National Provider Directory

National Provider Directory

Locations

1460 2nd Ave SW
#A
Jacksonville, AL 36265
Phone (256) 435-2180

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227484800000",
    "number": "1609933514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 A SECOND AVE SW",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "36265",
            "telephone_number": "256-435-2180",
            "fax_number": "256-435-9525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 2ND AVE SW # A",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "362653358",
            "telephone_number": "256-435-2180",
            "fax_number": "256-435-9525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADIGA MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2008-11-24",
        "status": "A",
        "authorized_official_last_name": "NEWTON",
        "authorized_official_first_name": "PENNY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "256-435-2180"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "AL",
            "license": "7858",
            "primary": true
        },
        {
            "code": "173000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "AL",
            "license": "9644",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; 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.