Active NPI
Pascal Degoh
- Case Manager/Care Coordinator
- Washington, DC
National Provider Identifier
1699036657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 2501 Good Hope Rd SE
Washington, DC 20020-3011 - Phone
- (202) 866-7505
- NPI assigned
- Jun 6, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LPN1008492 | DC | |
| Home Health Aide | 374U00000X | |||
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
2501 Good Hope Rd SE
Washington, DC 20020-3011
Mailing address
6122 Main St
Lanham, MD 20706-2719
Phone (832) 219-5808
Other practice location 1
2811 Pennsylvania Ave SE # Ll
Washington, DC 20020-3865
Phone (202) 894-6811
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPN1008492 | DC | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689724800000",
"number": "1699036657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6122 MAIN ST",
"city": "LANHAM",
"state": "MD",
"postal_code": "207062719",
"telephone_number": "832-219-5808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 GOOD HOPE RD SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200203011",
"telephone_number": "202-866-7505"
}
],
"practiceLocations": [
{
"address_1": "2811 Pennsylvania Ave SE # Ll",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200203865",
"country_code": "US",
"telephone_number": "202-894-6811",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEGOH",
"first_name": "PASCAL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-06",
"last_updated": "2023-07-19",
"certification_date": "2023-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "DC",
"license": "LPN1008492",
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.