Vincent Walter Delagarza, MD

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

17094 Issued in WV

Practice address

1 Stadium Drive
Health Sciences Center
Morgantown, WV 26505

Phone

(304) 598-6900

Fax

(304) 598-6917

NPI assigned

Aug 18, 2005

Last updated

Oct 4, 2011By the provider in NPPES

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)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1548252281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6003 WOODLAND BLUFF RD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265089403",
            "telephone_number": "304-598-0695",
            "fax_number": "304-598-6917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 STADIUM DRIVE",
            "address_2": "HEALTH SCIENCES CENTER",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "26505",
            "telephone_number": "304-598-6900",
            "fax_number": "304-598-6917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELAGARZA",
        "first_name": "VINCENT",
        "middle_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "WV",
            "license": "17094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel J Defeo
• Jessica Haley Degolier, DO
• Lia Deiriggi, OTR/L
• Cady Deitz
• Connie M Dela'O, M.D.
• Ruby Nieves Delamata, M.D.
• Jesse Delaney
• Katelyn Elizabeth Delaney
• Cassie Lynn Delawder, FNP-C
• Robert Garner Delbello

• Geriatric Medicine (Family Medicine) Physician in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Geriatric Medicine (Family Medicine) Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.