Active NPI
Douglas B Degen, MD
- Internal Medicine Physician
- Staunton, VA
National Provider Identifier
1669542569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101034143
- Practice address
- 42 Lambert Street Suite 511
Staunton, VA 24401 - Phone
- (540) 886-6259
- Fax
- (540) 885-1696
- NPI assigned
- Nov 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101034143 | VA | Primary |
Addresses
Primary practice location
42 Lambert Street Suite 511
Staunton, VA 24401
Mailing address
PO Box 1920
Staunton, VA 24402
Phone (540) 886-6259
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08069900000 | Other | VA | SOUTHERN HEALTH |
| 6010342 | Medicaid | VA | |
| 034159 | Other | VA | ANTHEM |
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 |
|---|---|---|---|
| University of Virginia Physicians Group | Past | Accepting new patients |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669542569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1920",
"city": "STAUNTON",
"state": "VA",
"postal_code": "24402",
"telephone_number": "540-886-6259",
"fax_number": "540-885-1696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 LAMBERT STREET SUITE 511",
"city": "STAUNTON",
"state": "VA",
"postal_code": "24401",
"telephone_number": "540-886-6259",
"fax_number": "540-885-1696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGEN",
"first_name": "DOUGLAS",
"middle_name": "B",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101034143",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH",
"identifier": "08069900000",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6010342",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "034159",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Staunton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.