MIGUEL A. CAMACHO, MD P.C. (NPI# 1497862304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497862304 |
| Entity Type | Organization |
| Organization Name | MIGUEL A. CAMACHO, MD P.C. |
| Practice Address |
1104 Walnut Dr Ardmore OK 73401-2353 |
| Practice Telephone | 5802260543 |
| Practice Fax Number | 5802262284 |
| Mailing Telephone | 5802260543 |
| Mailing Fax Number | 5802262284 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MIGUEL A CAMACHO (PRESIDENT) |
| Authorized Official Telephone | 5802260543 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Street Address |
1104 WALNUT DR |
| City | ARDMORE |
| State | OK |
| Zip Code | 73401-2353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770504037 | Miguel Antonio Camacho-garrido | Pediatrics | 1104 Walnut Dr, Ardmore, OK 73401-2353 | 2006-07-22 |
| 1013374271 | Shawn Fadum | Physician Assistant | 1104 Walnut Dr, Ardmore, OK 73401-2353 | 2016-01-19 |
| 1346618980 | Family Health Skilled Services LLC | Family Medicine | 1104 Walnut Dr, Ardmore, OK 73401-2353 | 2015-09-14 |
| 1952476251 | Osu Center for Health Sciences | Clinic/Center | 1104 Walnut Dr, Ardmore, OK 73401-2353 | 2006-11-21 |
| 1497853774 | Melissa Cashman, Ph.d.,p.c.,inc. | Psychologist | 1104 Walnut Dr, Ardmore, OK 73401-2353 | 2006-09-20 |
| 1871698514 | Melissa Cashman | Psychologist | 1104 Walnut Dr, Ardmore, OK 73401-2353 | 2006-09-14 |
| 1871607903 | Michael W Carnahan | Family Medicine | 1104 Walnut Dr, Ardmore, OK 73401-2353 | 2006-08-18 |
| 1568576619 | Family Practice Associates | Family Medicine | 1104 Walnut Dr, Ardmore, OK 73401-2353 | 2006-08-18 |
| 1972616183 | Sharon E Hall | Nurse Practitioner | 1104 Walnut Dr, Ardmore, OK 73401-2353 | 2006-08-15 |
| 1407879661 | Thomas W Mcculloh | Family Medicine | 1104 Walnut Dr, Ardmore, OK 73401-2353 | 2006-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497391452 | Abbie Deeann Mclemore | Nurse Practitioner | 915 10th Ave, Ardmore, OK 73401 | 2019-11-25 |
| 1790349991 | Shirley Denise Brown | Licensed Psychiatric Technician | 1219 Kst N.w, 1219 Kst N.w, Ardmore, OK 73401 | 2019-04-24 |
| 1427512359 | Billy Joe Oshields | Case Manager/Care Coordinator | 6862 State Hwy 199 Ardmore Oklahoma, 6862 State Hwy 199, Ardmore, OK 73401 | 2019-01-24 |
| 1174007595 | Tawnya Dawn Peery | Nurse Practitioner | 1108 W. Walnut Drive, Ardmore, OK 73401 | 2018-09-21 |
| 1679055016 | Teresa Marie Hernandez | Behavior Technician | 1219 K St. Nw, Ardmore, OK 73401 | 2018-09-01 |
| 1063991974 | Sawyer Rae Shamburger | Occupational Therapy Assistant | 208 North Praire St, Pilot Point, TX 73401 | 2018-08-10 |
| 1417473521 | Chelsye Bacon | Peer Specialist | 905 Holiday Drive, Ardmore, OK 73401 | 2017-08-21 |
| 1003279746 | Jeni Presley | Marriage & Family Therapist | Outpatient Services-ardmore; 2510 Chickasaw Dr., Strong Family Development;, Ardmore, OK 73401 | 2016-03-31 |
| 1982080909 | Alison Hill | Pharmacist | 1111 N. Commerce, Ardmore, OK 73401 | 2015-07-31 |
| 1316346547 | Olivia Larae Carrell | Counselor | 15 Monroe Street Ne, Ardmore, OK 73401 | 2014-08-13 |
| Find all providers in zip 73401 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699041681 | Richard M Gesser | Pediatrics | 132 Elm Ave, Ardmore, PA 19003-2144 | 2012-03-24 |
| 1396986840 | Emily Siege | Pediatrics | 623 Valley View Rd, Ardmore, PA 19003-1028 | 2009-03-12 |
| 1720051774 | Teuta Henci | Pediatrics | 233 E Lancaster Ave, Suite 300, Ardmore, PA 19003-2321 | 2006-02-09 |
| 1013914324 | Gwen Canarias Fuentes | Pediatrics | 919 15th Ave Nw, Ardmore, OK 73401-1809 | 2005-06-30 |
| 1487854642 | Derek Todd Landis | Pediatrics | 921 14th Ave Nw, Ardmore, OK 73401-1837 | 2007-07-24 |
| 1083830608 | Gwen Fuentes Md Pediatric Clinic | Pediatrics | 919 15th Ave Nw, Ardmore, OK 73401-1809 | 2007-04-18 |
| 1467593210 | Lisa Christine Hoffman | Pediatrics | 1020 N Commerce St, Ardmore, OK 73401-3920 | 2007-02-12 |
| 1649327727 | Frank H. King Jr. | Pediatrics | 100 Church Rd, Suite 300, Ardmore, PA 19003-2316 | 2007-01-04 |
| 1265599740 | Alexandra S Bartlett | Pediatrics | 100 Church Rd, Suite 300, Ardmore, PA 19003-2316 | 2007-01-03 |
| 1881751451 | William S Zavod | Pediatrics | 100 Church Rd, Suite 300, Ardmore, PA 19003-2316 | 2007-01-03 |
| Find all providers in ARDMORE | ||||
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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.