Degara, PLLC
Emergency Medicine in Pontiac, MI. Organization (NPI-2).
NPI number1457589657
StatusActive
Last updated in NPPESJun 23, 2011
Details
- NPI
- 1457589657
- Entity type
- Organization (NPI-2)
- Legal business name
- Degara, PLLC
- Organization subpart
- No
- Enumeration date
- Jun 25, 2009
- Last updated
- Jun 23, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | – | MI | Yes |
| 207Q00000X | Family Medicine | – | MI | |
| 207R00000X | Internal Medicine | – | MI |
Practice location
50 N Perry StEmergency Department
Pontiac, MI 48342-2217
Phone 248-338-5332
Mailing address
5249 Reliable PkwyChicago, IL 60686-0001
Phone 866-898-7139 · Fax 616-975-9827
Authorized official
Tressa Gardner
Ceo
2483385339
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