Provider Demographics
NPI:1124061429
Name:DINGESS, YOLANDA E (MD)
Entity type:Individual
Prefix:
First Name:YOLANDA
Middle Name:E
Last Name:DINGESS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4262 OLD WILLIAM PENN HWY
Mailing Address - Street 2:SUITE 208
Mailing Address - City:MURRYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15668-1936
Mailing Address - Country:US
Mailing Address - Phone:724-325-2133
Mailing Address - Fax:724-733-2278
Practice Address - Street 1:4262 OLD WILLIAM PENN HWY
Practice Address - Street 2:SUITE 208
Practice Address - City:MURRYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15668-1936
Practice Address - Country:US
Practice Address - Phone:724-325-2133
Practice Address - Fax:724-733-2278
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2014-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD042398L208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
4321231OtherAETNA
370017091OtherRAILROAD MEDICARE
712843OtherBLUE SHIELD
207531OtherUPMC HEALTH PLAN
P000179OtherGATEWAY HEALTH PLAN
PA001231746Medicaid
370017091OtherRAILROAD MEDICARE
712843Medicare ID - Type Unspecified