DR. VINCENT J DEGENHART (NPI# 1972693257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972693257 |
| Entity Type | Individual |
| Full Name | DR. VINCENT J DEGENHART |
| Credential | MD |
| Practice Address |
1315 Roberts Street Kershaw Health Camden SC 29020 |
| Mailing Address |
Po Box 2344 Columbia SC 29202-2344 |
| Practice Telephone | 8037132619 |
| Mailing Telephone | 8032542394 |
| Mailing Fax Number | 8032547125 |
| Enumeration Date | 2006-10-15 |
| Last Update Date | 2019-06-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 8917 | SC | Allopathic & Osteopathic Physicians |
| N | 207LC0200X |
Anesthesiology Specialization: Critical Care Medicine |
8917 | SC | Allopathic & Osteopathic Physicians |
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
8917 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 089175 | 05 | |
| SC | CCP | 2000078 | 01 |
| SC | SELECT HEALTH | 089175 | 01 |
| SC | MEDCOST | 77789 | 01 |
| SC | RR MEDICARE | 050028863 | 01 |
| SC | AETNA | 4129441 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Taylor At Marion St, Columbia, SC 292200001 | 8032542394 | 8032547125 |
| Street Address |
1315 ROBERTS STREET KERSHAW HEALTH |
| City | CAMDEN |
| State | SC |
| Zip Code | 29020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023095361 | Christopher C Cornor | Nurse Anesthetist, Certified Registered | 1315 Roberts Street, Camden, SC 29020 | 2005-12-28 |
| 1265675862 | Lifeforte Associates, Inc. | Internal Medicine | 1315 Roberts Street, Camden, SC 29020-3737 | 2009-04-13 |
| 1043412695 | Amanda C Fowler | Nurse Anesthetist, Certified Registered | 1315 Roberts Street, Camden, SC 29020-3737 | 2007-06-05 |
| 1790763563 | G Thomas Norris | Emergency Medicine | 1315 Roberts Street, Camden, SC 29020 | 2006-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285252940 | Carolina Orthotics and Prosthetics LLC | Prosthetic/Orthotic Supplier | 708 Lafayette Ave, Ste 4, Camden, SC 29020 | 2020-07-09 |
| 1205493871 | Kershaw County Board of Disabilities and Special Needs | Early Intervention Provider Agency | 1619 Jefferson Davis Highway, Camden, SC 29020 | 2019-05-20 |
| 1831669415 | Jennifer Dawn Colby | Counselor | 709 Mill Street, Camden, SC 29020 | 2018-11-27 |
| 1164990164 | Camden Oral Surgery & Implant Center | Dentist | 207 E. Dekalb St., Camden, SC 29020 | 2018-11-07 |
| 1730684036 | Speech Haus, LLC | Clinic/Center | 1029 Broadstreet, Suite 3, Kershaw, SC 29020 | 2018-03-28 |
| 1811414675 | Audra Rowell Scott | Registered Nurse | Kershaw County Health Department, 1116 Church Street, Camden, SC 29020 | 2017-08-23 |
| 1386173789 | Robert James Mccarthy | Specialist/Technologist | 410 Chewning Street, Camden, SC 29020 | 2017-06-08 |
| 1902357205 | First Physical Therapy LLC | Clinic/Center | 1114 Mill St, Camden, SC 29020 | 2016-10-21 |
| 1831598846 | Estate of William J Biggins | Dentist | 1015 Fair Street, Camden, SC 29020 | 2014-08-14 |
| 1154748424 | Diane Mcdonald | Registered Nurse | 1611 Church St, Camden, SC 29020 | 2014-03-25 |
| Find all providers in zip 29020 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467660910 | Kyle D Payne | Anesthesiology | 176 Briarwood St Ste B, Camden, TN 38320-1456 | 2007-05-18 |
| 1457349219 | Michael M Brown | Anesthesiology | 638 California Ave Sw, Camden, AR 71701-4604 | 2005-10-06 |
| 1659377349 | Mark S. Nemiroff | Anesthesiology | One Cooper Plaza, Cooper Anesthesia Associates, Camden, NJ 08103 | 2005-06-27 |
| 1538702642 | David Shaw | Anesthesiology | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2019-10-21 |
| 1578045175 | Maria Angelica Mejia | Anesthesiology | 1 Cooper Plz, Camden, NJ 08103-1461 | 2018-08-30 |
| 1063951838 | Daniel Adam Rosenbaum | Anesthesiology | 1 Cooper Plz, Camden, NJ 08103-1461 | 2017-02-14 |
| 1558818021 | Natalie Trautman | Anesthesiology | 1 Cooper Plz, Camden, NJ 08103-1461 | 2016-09-01 |
| 1124476619 | Carlos Sanchez | Anesthesiology | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2016-05-25 |
| 1154785095 | Megan Lee Linehan | Anesthesiology | 1 Cooper Plz, Camden, NJ 08103-1461 | 2016-04-06 |
| 1073986048 | Kershaw Anesthesia, LLC | Anesthesiology | 1315 Roberts St, Camden, SC 29020-3737 | 2015-11-12 |
| Find all providers in CAMDEN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.