Basic Information
Provider Information
NPI: 1336145556
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LIGAS
FirstName: JAMES
MiddleName: R
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 280 CHESTNUT ST
Address2: 2ND FLOOR
City: SPRINGFIELD
State: MA
PostalCode: 011991619
CountryCode: US
TelephoneNumber: 4137945700
FaxNumber:  
Practice Location
Address1: 759 CHESTNUT ST
Address2:  
City: SPRINGFIELD
State: MA
PostalCode: 011991001
CountryCode: US
TelephoneNumber: 4137945439
FaxNumber: 4137945389
Other Information
ProviderEnumerationDate: 06/22/2005
LastUpdateDate: 10/07/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0200X234323MAY Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
2086S0102X234323MAN Allopathic & Osteopathic PhysiciansSurgerySurgical Critical Care

No ID Information.


Home