NPIMap

Individual provider Active NPI

George M Degner, MD

  • Internal Medicine Physician
  • Stayton, OR
National Provider Identifier
1700923406
Registry record updated Mar 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD22533 Issued in OR
Practice address
1401 N 10TH Ave
Suite 200
Stayton, OR 97383-1311
Phone
(503) 769-7151
Fax
(503) 769-9316
NPI assigned
Jan 31, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 10

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Oregon Health Sciences University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Santiam Memorial Hospital 128 clinicians

Practice addresses (Care Compare)

1401 N 10TH Ave
Stayton, OR 97383-1311
Phone (503) 769-2175

Hospital & facility affiliations

  • First Call Home Health Agency, LLC Home health agency, Salem, OR, CCN 387147
  • Amedisys Home Health Care Home health agency, Salem, OR, CCN 387136
  • Santiam Hospital & Clinics Hospital, Stayton, OR, CCN 380056
  • Salem Hospital Hospital, Salem, OR, CCN 380051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100422000296 OR Practitioner - Internal Medicine 7810024957 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD22533ORMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Santiam Memorial Hospital CurrentSince Jan 4, 2010 Accepting new patients
Santiam Memorial Hospital Current Accepting new patients
Santiam Memorial Hospital CurrentSince Jan 4, 2010 Accepting new patients
Santiam Memorial Hospital Past Accepting new patients

Locations

1375 N 10th Ave
Ste B
Stayton, OR 97383
Phone (503) 769-7546

1373 N 10th Ave
#G
Stayton, OR 97383
Phone (503) 769-7151

1373 N 10th Ave
Stayton, OR 97383
Phone (503) 769-9522

1401 N 10th Ave
Ste 200
Stayton, OR 97383
Phone (503) 769-7151

Interoperability endpoints

  • Direct secure messaging: mdegner@santiam.securechart.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD22533 OR Primary

Addresses

NPPES NPI Registry

Primary practice location

1401 N 10TH Ave
Suite 200
Stayton, OR 97383-1311

Mailing address

1401 N 10TH Ave
Suite 200
Stayton, OR 97383-1311
Phone (503) 769-7151

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
262494MedicaidOR

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 26, 2014.

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395792000000",
    "number": "1700923406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 N 10TH AVE",
            "address_2": "SUITE 200",
            "city": "STAYTON",
            "state": "OR",
            "postal_code": "973831311",
            "telephone_number": "503-769-7151",
            "fax_number": "503-769-9316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 N 10TH AVE",
            "address_2": "SUITE 200",
            "city": "STAYTON",
            "state": "OR",
            "postal_code": "973831311",
            "telephone_number": "503-769-7151",
            "fax_number": "503-769-9316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGNER",
        "first_name": "GEORGE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2014-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD22533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262494",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stayton, OR

Sources for this page

Verify at the official NPI Registry.