Active NPI
James C Degner, MD
- Diagnostic Radiology Physician
- Wichita, KS
National Provider Identifier
1376526327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 04-21031
- Practice address
- 3600 E Harry St
Wichita, KS 67218-3713 - Phone
- (316) 689-5050
- NPI assigned
- Nov 23, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 04-21031 | KS | Primary |
| Vascular & Interventional Radiology Physician | 2085R0204X | 04-21031 | KS | |
| Body Imaging Physician | 2085B0100X | 04-21031 | KS | |
| Neuroradiology Physician | 2085N0700X | 04-21031 | KS | |
| Nuclear Radiology Physician | 2085N0904X | 04-21031 | KS | |
| Therapeutic Radiology Physician | 2085R0203X | 04-21031 | KS | |
| Pediatric Radiology Physician | 2085P0229X | 04-21031 | KS | |
| Diagnostic Ultrasound Physician | 2085U0001X | 04-21031 | KS |
Addresses
Primary practice location
3600 E Harry St
Wichita, KS 67218-3713
Mailing address
PO Box 645
Wichita, KS 67201-0645
Phone (316) 689-5050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10013680C | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Joseph MRI LLC | Body Imaging | Past | Accepting new patients |
| Advanced Medical Imaging - Hutchinson KS LLC | Past | Accepting new patients | |
| Mr Imaging Center LLC | Body Imaging | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Magnetic Resonance Imaging Radiologic Technologist
- Hutchinson, KS
- NPI 1679518294
-
- Body Imaging Physician
- Wichita, KS
- NPI 1891762449
-
- Body Imaging Physician
- Wichita, KS
- NPI 1205803855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518566400000",
"number": "1376526327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 645",
"city": "WICHITA",
"state": "KS",
"postal_code": "672010645",
"telephone_number": "316-689-5050",
"fax_number": "316-689-6192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 E HARRY ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672183713",
"telephone_number": "316-689-5050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGNER",
"first_name": "JAMES",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-23",
"last_updated": "2018-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "KS",
"license": "04-21031",
"primary": true
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "KS",
"license": "04-21031",
"primary": false
},
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "KS",
"license": "04-21031",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "KS",
"license": "04-21031",
"primary": false
},
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "KS",
"license": "04-21031",
"primary": false
},
{
"code": "2085R0203X",
"taxonomy_group": "",
"desc": "Radiology, Therapeutic Radiology",
"state": "KS",
"license": "04-21031",
"primary": false
},
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "KS",
"license": "04-21031",
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "KS",
"license": "04-21031",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10013680C",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.