DEGARA PLLC NPI 1457589657

NPI Information

  • NPI: 1457589657
  • Provider Name: DEGARA, PLLC
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Organization
  • Address: 50 N PERRY ST
    EMERGENCY DEPARTMENT
    PONTIAC, MI
    ZIP 48342
  • Phone: (248) 338-5332

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NPI Details

DEGARA, PLLC is an emergency medicine in Pontiac, MI. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. DEGARA, PLLC NPI is 1457589657. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

50 N PERRY ST
EMERGENCY DEPARTMENT
PONTIAC, MI
ZIP 48342-217
Phone: (248) 338-5332

The provider's authorized official is Tressa Gardner .
The authorized official title is Ceo and has the following contact phone number (248) 338-5339.

The enumeration date for this NPI number is 6/25/2009 and was last updated on 6/23/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineMICHIGANNo
2207R00000XInternal MedicineMICHIGANNo
3207P00000XEmergency MedicineMICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1MI1929MEDICARE PINMICHIGAN
2MI2309MEDICARE PINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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