Vincent J Degenhart, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

8917 Issued in SC

Practice address

1315 Roberts Street
Kershaw Health
Camden, SC 29020

Phone

(803) 713-2619

NPI assigned

Oct 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 6

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 and National Provider Directory roles.

• Carolina Anesthesiology Associates PA

  dba Anesthesiology Consultants

  • Anesthesiology Physician
  • Columbia, SC
  • NPI 1821589938
  NPD (past)
• Carolina Anesthesiology Associates PA

  • Anesthesiology Physician
  • Columbia, SC
  • NPI 1851486781
  NPD (past)
• Pain Management, LLC

  • Interventional Pain Medicine Physician
  • Mount Pleasant, SC
  • NPI 1104914076
  NPD (past)
• Palmetto Health Alliance

  dba Center for Pain Management

  • Interventional Pain Medicine Physician
  • Columbia, SC
  • NPI 1265527097
  NPD (past)

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

{
    "created_epoch": "1160870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1972693257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2344",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292022344",
            "telephone_number": "803-254-2394",
            "fax_number": "803-254-7125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 ROBERTS STREET",
            "address_2": "KERSHAW HEALTH",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "29020",
            "telephone_number": "803-713-2619"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Taylor At Marion St",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292200001",
            "country_code": "US",
            "telephone_number": "803-254-2394 x216",
            "fax_number": "803-254-7125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEGENHART",
        "first_name": "VINCENT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-15",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "SC",
            "license": "8917",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "SC",
            "license": "8917",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "SC",
            "license": "8917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4129441",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "050028863",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT HEALTH",
            "identifier": "089175",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "77789",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "089175",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCP",
            "identifier": "2000078",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Leigh Davis Atkinson, APRN
• Kaydrell Davis
• Robert B Davis, PHARMD, MS
• Robert G. Dawkins Jr., M.D.
• Madeline Phae Dean, PHARMD
• Dental Health Professionals of South Carolina, PC (Dental Care of Camden)
• Christina Marie Derrick, LMFT
• Tracey A Desjadon
• Elizabeth Diller, MA
• Patricia H Dillman, LPC

• Anesthesiology Physician in Camden, SC
• Providers in Camden, SC by specialty
• Anesthesiology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; 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.