DR. DARRYL SHANE CAMP (NPI# 1366464745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366464745 |
| Entity Type | Individual |
| Full Name | DR. DARRYL SHANE CAMP |
| Credential | M.D. |
| Practice Address |
1180 Seton Pkwy Suite 300 Kyle TX 78640-6178 |
| Mailing Address |
11211 Taylor Draper Ln Ste 202 Austin TX 78759-3971 |
| Practice Telephone | 5125510846 |
| Practice Fax Number | 5128288785 |
| Mailing Telephone | 5126749070 |
| Mailing Fax Number | 5123429949 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2012-02-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
K2317 | TX | Allopathic & Osteopathic Physicians |
| N | 2084V0102X |
Psychiatry & Neurology Specialization: Vascular Neurology |
K2317 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 096306807 | 05 |
| Street Address |
1180 SETON PKWY SUITE 300 |
| City | KYLE |
| State | TX |
| Zip Code | 78640-6178 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760487474 | John Feldmeier | Radiology | 1180 Seton Pkwy, Kyle, TX 78640 | 2005-06-17 |
| 1598113953 | Kids Dental Works | Dentist | 1180 Seton Pkwy, Suite 425, Kyle, TX 78640-6178 | 2016-05-26 |
| 1174936074 | Central Texas Medical Specialists, Pllc | Internal Medicine | 1180 Seton Pkwy, Ste 150, Kyle, TX 78640-6178 | 2014-06-09 |
| 1346583531 | Christina Lee Russell | Pharmacy Technician | 1180 Seton Pkwy, Suite 320, Kyle, TX 78640-6178 | 2013-04-05 |
| 1629316930 | Mary Grace Gloria | Physician Assistant | 1180 Seton Pkwy, Suite 220, Kyle, TX 78640-6178 | 2013-01-21 |
| 1144597402 | Tiphany Price | Nurse Practitioner | 1180 Seton Pkwy, Suite 450, Kyle, TX 78640-6178 | 2011-11-30 |
| 1598050841 | Ent Associates of Central Texas | Otolaryngology | 1180 Seton Pkwy, Suite 330, Kyle, TX 78640-6178 | 2011-06-15 |
| 1992007728 | Katherine Joy Kaut | Nurse Practitioner | 1180 Seton Pkwy, Suite 330, Kyle, TX 78640-6178 | 2010-11-30 |
| 1720398266 | Austin Southwest Orthopaedic Group, P.a. | Orthopaedic Surgery | 1180 Seton Pkwy, Suite 220, Kyle, TX 78640-6178 | 2010-10-18 |
| 1497062194 | Urology Associates of Central Texas Pa | Urology | 1180 Seton Pkwy, Suite 320, Kyle, TX 78640-6179 | 2010-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558909853 | Advanced Spine & Wellness LLC | Chiropractor | 1101 Bunton Creek Rd., Ste. 330, Kyle, TX 78640 | 2019-12-17 |
| 1154962587 | Shelbi Hancock | Behavior Technician | 4221 Benner Road, Building 2, Suite 250, Kyle, TX 78640 | 2019-10-07 |
| 1326696469 | Robin Corina Dean | Physical Therapist | 21195b Ih35n Ste 201, Kyle, TX 78640 | 2019-09-02 |
| 1417503798 | Judson Sturdivant | Durable Medical Equipment & Medical Supplies | 1101 Bunton Creek Road, Kyle, TX 78640 | 2019-08-13 |
| 1063974152 | Fearless Functional Fitness, LLC | Physical Therapist | 140 Kirkham Circle, Kyle, TX 78640 | 2019-04-05 |
| 1639649197 | Virginia Vela | Nurse Practitioner | 180 Orion Cove, Kyle, TX 78640 | 2018-11-27 |
| 1033691878 | Keshavi Patel Pllc | Clinic/Center | 22510 Ih-35, Suite 104, Kyle, TX 78640 | 2018-08-29 |
| 1720564669 | Deborah Ann Burks | Massage Therapist | 147 Elmhurst Dr., 147 Elmhurst Dr. Ste 700, Kyle, TX 78640 | 2018-07-13 |
| 1689165995 | Daybreak Counseling Pllc | Counselor | 261 Mistletoe Ln, Kyle, TX 78640 | 2018-05-22 |
| 1194229179 | Amalia Belle Miller | Social Worker | 271 Hutton, Kyle, TX 78640 | 2018-03-22 |
| Find all providers in zip 78640 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437368503 | David Leland Burgum | Psychiatry & Neurology | 23707 Ih 35, Kyle, TX 78640 | 2007-05-22 |
| 1811203516 | Sai Mula Md Pa | Psychiatry & Neurology | 1180 Seton Pkwy, Suite 330, Kyle, TX 78640-6178 | 2010-08-19 |
| 1487850046 | Lotika Reena Misra | Psychiatry & Neurology | 5103 Kyle Center Dr, Suite 103, Kyle, TX 78640-6163 | 2007-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366059230 | Alla Al-habib Md Pllc | Psychiatry & Neurology | 981 Sh 121, Suite 3100, Allen, TX 75013 | 2020-09-25 |
| 1427669712 | Nerve Track, Pllc | Psychiatry & Neurology | 17503 La Cantera Pkwy Ste 104-416, San Antonio, TX 78257-8207 | 2020-08-11 |
| 1013535020 | Pearland Neurology Services, Pllc | Psychiatry & Neurology | 11914 Astoria Blvd Ste 400, Houston, TX 77089-6049 | 2020-07-07 |
| 1881219384 | Pankhuri Banerjee | Psychiatry & Neurology | 301 University Blvd. -jsa 9.128, Galveston, TX 77555-0539 | 2020-06-10 |
| 1184247371 | Integris Neuro Group LLC | Psychiatry & Neurology | 2012 Justin Rd Ste 200-a, Highland Village, TX 75077-7193 | 2020-05-21 |
| 1265055685 | Schweta Parag Rane | Psychiatry & Neurology | 301 University Blvd. - Jsa9. 128, Galveston, TX 77555-0539 | 2020-05-20 |
| 1477175214 | Vijaya Lakshmi Valaparla | Psychiatry & Neurology | Utmb - Neurology - Jsa 9.128 - Rt. 0539, 301 University Blvd, Galveston, TX 77555-0539 | 2020-05-14 |
| 1548895386 | Robert William Bastien | Psychiatry & Neurology | 602 Catalina Cove Ln, La Marque, TX 77568-6577 | 2020-03-11 |
| 1740823772 | Epilepsy and Neurology Care Specialists Pllc | Psychiatry & Neurology | 2406 Stirling Ave, Edinburg, TX 78539-2706 | 2019-10-22 |
| 1235797226 | Apollo Monitoring Services, LLC | Psychiatry & Neurology | 1100 Glade Rd, Colleyville, TX 76034-4227 | 2019-06-04 |
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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.