Individual provider Active NPI

Anthony Joseph Degenhard, D.O.

  • Nephrology Physician
  • Canton, OH
National Provider Identifier
1790781193
Registry record updated Oct 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
34007346 Issued in OH
Practice address
4650 Hills and Dales Rd NW
Canton, OH 44708
Phone
(330) 649-9400
Fax
(330) 649-8059
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 34007346 OH Primary

Addresses

Primary practice location

4650 Hills and Dales Rd NW
Canton, OH 44708

Mailing address

4650 Hills and Dales Rd NW
Canton, OH 44708
Phone (330) 649-9400

Other identifiers 1

IdentifierTypeStateIssuer
2499032MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040615000284 OH Practitioner - NephrologyPractitioner - Internal Medicine 9638153067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Ohio University, College of Osteopathic Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidney and Hypertension Consultants IncGroup PAC ID 1951206085, 10 clinicians

Practice addresses (Care Compare)

4650 Hills and Dales Rd NW
Canton, OH 44708-6220
Phone (330) 649-9400

Hospital & facility affiliations

  • DaVita Dover Community Dialysis Dialysis facility, Dover, OH, CCN 362765
  • DaVita Navarre Dialysis Dialysis facility, Navarre, OH, CCN 362884
  • DaVita Belden Community Dialysis Dialysis facility, Canton, OH, CCN 362600
  • Aultman Hospital Hospital, Canton, OH, CCN 360084
  • Mercy Medical Center Hospital, Canton, OH, CCN 360070
  • Union Hospital Hospital, Dover, OH, CCN 360010
  • Aultman Orrville Hospital Hospital, Orrville, OH, CCN 361323
  • Alliance Community Hospital Hospital, Alliance, OH, CCN 360131

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34007346OHMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney & Hypertension Consultants, Inc. Nephrology CurrentSince Jul 1, 2004 Accepting new patients

Locations

4650 Hills and Dales Rd NW
Fl 1
Canton, OH 44708
Phone (330) 649-9400

4689 Fulton Dr NW
Canton, OH 44718
Phone (330) 649-9400

4650 Hills and Dales Rd NW
Canton, OH 44708
Phone (330) 491-9675

603 Monroe St
Dover, OH 44622
Phone (330) 364-8889

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1790781193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 HILLS AND DALES RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "44708",
            "telephone_number": "330-649-9400",
            "fax_number": "330-649-8059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 HILLS AND DALES RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "44708",
            "telephone_number": "330-649-9400",
            "fax_number": "330-649-8059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGENHARD",
        "first_name": "ANTHONY",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "34007346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2499032",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.