Frederick Augustine Deigert, M. D.

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

01060773A Issued in IN

Practice address

150 E Ponce de Leon Ave
Suite 220
Decatur, GA 30030-2543

Phone

(800) 998-5859

Fax

(404) 378-7460

NPI assigned

Nov 8, 2006

Last updated

Jul 8, 2007By 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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Radiation Oncology Alliance

  • Radiation Oncology Physician
  • Lansing, MI
  • NPI 1477587061
  NPD (past)

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": "1811067838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E PONCE DE LEON AVE",
            "address_2": "SUITE 220",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302543",
            "telephone_number": "800-998-5859",
            "fax_number": "404-378-7460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E PONCE DE LEON AVE",
            "address_2": "SUITE 220",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302543",
            "telephone_number": "800-998-5859",
            "fax_number": "404-378-7460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEIGERT",
        "first_name": "FREDERICK",
        "middle_name": "AUGUSTINE",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IN",
            "license": "01060773A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Decatur Wellness Services, Inc.
• Catherine Gray Deering, PH.D.
• Margaret Defillippo
• Frank Defilppo
• Judy Bernadette Degraff, LCSW/LMSW
• Dekalb Anesthesia Associates, P a
• Dekalb Center for Foot and Ankle Surgery, LLC
• Dekalb Community Service Board
• Dekalb Community Service Board
• Dekalb Community Service Board

• Radiation Oncology Physician in Decatur, GA
• Providers in Decatur, GA by specialty
• Radiation Oncology Physician in Georgia

• 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.

Verify at the official NPI Registry.