G Kenneth Deagman MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

18107 Issued in CO

Legal business name

G KENNETH DEAGMAN MD PC

Practice address

1550 S Potomac St
360
Aurora, CO 80012-5457

Phone

(303) 755-1164

Fax

(303) 755-1147

NPI assigned

Feb 14, 2012

Organization subpart

No

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

Authorized official

Name

Gordon K Deagman, MD

Title

Owner/Physician

Phone

(303) 755-1164

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329177600000",
    "number": "1134492739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 S POTOMAC ST",
            "address_2": "360",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800125457",
            "telephone_number": "303-755-1164",
            "fax_number": "303-755-1147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 S POTOMAC ST",
            "address_2": "360",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800125457",
            "telephone_number": "303-755-1164",
            "fax_number": "303-755-1147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G KENNETH DEAGMAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-14",
        "last_updated": "2012-02-14",
        "status": "A",
        "authorized_official_last_name": "DEAGMAN",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "303-755-1164",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "18107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hannah A Fuson
• G. Rehlander Sa, LLC
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• Ozioma Thelma Gab-Ojukwu, MD
• Sandra Abbott Gabbard, PHD
• Jennifer Jayne Gaber, CPNP

• Internal Medicine Physician in Aurora, CO
• Providers in Aurora, CO by specialty
• Internal Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; 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.