JUAN CAMACHOACLDERON (NPI# 1114295052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114295052 |
| Entity Type | Individual |
| Full Name | JUAN CAMACHOACLDERON |
| Practice Address |
204 Maplewood Ridge Summerville SC 29483 |
| Practice Telephone | 4108414747 |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2011-12-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| Street Address |
204 MAPLEWOOD RIDGE |
| City | SUMMERVILLE |
| State | SC |
| Zip Code | 29483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764347 | Catherine M Bixler | Counselor | 314 W 4th St N, Summerville, SC 29483 | 2020-09-09 |
| 1255979431 | Jeanette Louise Virden | Counselor | 200 E 5th North Street, Summerville, SC 29483 | 2019-12-18 |
| 1912477415 | Kaylee Lobo | Nurse Practitioner | 203 Pavilion Street, Summerville, SC 29483 | 2018-11-28 |
| 1962981142 | Jackson Pediatric Dentistry of Summerville | Dentist | 405 West 4th Street North, Summerville, SC 29483 | 2018-08-09 |
| 1558885483 | Allied Medical Respiratory | Durable Medical Equipment & Medical Supplies | 200 W 5th North Street, Summerville, SC 29483 | 2017-08-02 |
| 1336671296 | Natalie M Clark | Specialist/Technologist | 102 Green Wave Boulevard, Dorchester School District Two, Summerville, SC 29483 | 2017-03-30 |
| 1649701897 | Usv Optical Inc. | Technician/Technologist | 1035 Jockey Ct., Summerville, SC 29483 | 2017-03-21 |
| 1497113617 | Roper Saint Francis Physicians Network | Surgery | 1112 N Main St Ste C, Summerville, SC 29483 | 2016-02-02 |
| 1083000798 | Andrea Sartori | Clinical Neuropsychologist | 107 W 5th North St Ste 102, Summerville, SC 29483 | 2015-04-09 |
| 1376931626 | Wendy Davis-jones | Home Health Aide | 203 Lakepointe Ave, Summerville, SC 29483 | 2015-01-08 |
| Find all providers in zip 29483 | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346619558 | Matthew Shaun Woodruff | Military Health Care Provider | Post Office Box 66038, Marine Aircraft Group 31, Beaufort, SC 29904-6038 | 2015-09-17 |
| 1700144821 | Joshua William Crum | Military Health Care Provider | 7 Saddlemount Ln, Simpsonville, SC 29680-7056 | 2012-04-26 |
| 1467783506 | Dennis Jason Green | Military Health Care Provider | 1050 Remount Rd, North Charleston, SC 29406-3544 | 2010-01-28 |
| 1184827941 | Matthew Barnhart | Military Health Care Provider | Mcas Branch Health Clinic, Beaufort, SC 29904-5020 | 2007-06-08 |
| 1861461667 | Cheryl R Murphy | Military Health Care Provider | 669 Blvd De France, Branch Health Clinic, Parris Island, SC 29905-9501 | 2006-03-15 |
| 1164499513 | Timothy Macon | Military Health Care Provider | 123 Sully St, Goose Creek, SC 29445-5447 | 2006-03-03 |
| 1730484486 | Gerald Dickson Ramones | Military Health Care Provider | 1 Pinckney Blvd, Mcrd Parris Island, Bhc Parris Island, Beaufort, SC 29902-6122 | 2011-01-11 |
| 1194999185 | Ernst Schettini | Military Health Care Provider | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2008-04-22 |
| 1144408501 | Matthew David Hall | Military Health Care Provider | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2008-02-07 |
| 1932281102 | Kelly Lynn Youngerman | Military Health Care Provider | 110 Nnptc Cir, Goose Creek, SC 29445-6314 | 2006-10-19 |
| Find all providers with the same taxonomy | ||||
| City | SUMMERVILLE |
| Zip Code | 29483 |
Please comment or provide details below to improve the information on JUAN CAMACHOACLDERON.
| 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.