Active NPI
Christopher J Degnen, M.D.
- Emergency Medicine Physician
- Burlington, MA
National Provider Identifier
1811088974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 51472
- Practice address
- 41 Mall Rd
Burlington, MA 01805-0002 - Phone
- (781) 744-5100
- Fax
- (781) 744-5213
- NPI assigned
- Sep 27, 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 51472 | MA | Primary |
Addresses
Primary practice location
41 Mall Rd
Burlington, MA 01805-0002
Mailing address
41 Mall Rd
Burlington, MA 01805-0002
Phone (781) 744-5100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110063882A | Medicaid | MA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51472 | MA | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291680000000",
"number": "1811088974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 MALL RD",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018050002",
"telephone_number": "781-744-5100",
"fax_number": "781-744-5213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 MALL RD",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018050002",
"telephone_number": "781-744-5100",
"fax_number": "781-744-5213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGNEN",
"first_name": "CHRISTOPHER",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2010-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MA",
"license": "51472",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110063882A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Burlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.