Charles Degaugh, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

301695 Issued in NY

Practice address

66 Summer St
Apt. 7K
Buffalo, NY 14209-2229

Phone

(585) 576-3577

NPI assigned

Jul 17, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1279324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279324800000",
    "number": "1154634269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 SUMMER ST",
            "address_2": "APT. 7K",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142092229",
            "telephone_number": "585-576-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 SUMMER ST",
            "address_2": "APT. 7K",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142092229",
            "telephone_number": "585-576-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGAUGH",
        "first_name": "CHARLES",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-17",
        "last_updated": "2010-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "301695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcia A Defazio, SLP
• Maria Defilippo
• Definitive Care Transportation LLC.
• Carl F Defranco II, PMHNP
• Nancy Deganis
• Audrey Ann Degen, PA
• Sandra Ann Degennaro, R.D.
• Jamie John Degeorge, LMHC
• Jason Degiovanni, MD
• Michael Edward Degnan, MSC

• Licensed Practical Nurse in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2010; 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.