SCOTT A CAMERON (NPI# 1912297078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912297078 |
Entity Type | Individual |
Full Name | SCOTT A CAMERON |
Credential | M.D. |
Practice Address |
10400 75th St Kenosha WI 53142-7884 |
Practice Telephone | 2629486710 |
Practice Fax Number | 2626486780 |
Mailing Telephone | 2629486710 |
Mailing Fax Number | 2626486780 |
Enumeration Date | 2011-04-11 |
Last Update Date | 2019-08-21 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
69209 | WI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 100077871 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
225 E Chicago Ave # 21, Chicago, IL 606112991 | 3122274100 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891906384 | Scott Lane Cameron | Psychologist | 7945 Macarthur Blvd Ste 221, Cabin John, MD 20818-1634 | 2007-05-25 |
1508853060 | Scott G Cameron | Physical Therapist | 444 Foxon Rd, East Haven, CT 06513-2019 | 2005-09-30 |
1922619105 | Scott Cameron | Counselor | 1920 Sw Kurtz Ln, Grants Pass, OR 97526-2803 | 2020-08-12 |
1740607001 | Scott Cameron | Family Medicine | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2014-03-25 |
1689936627 | Scott Alan Cameron | Internal Medicine | 982055 Nebraska Medical Ctr, Omaha, NE 68198-2055 | 2012-06-14 |
1154645711 | Scott Farzad Cameron | Radiology | 680 Centre St, Brockton, MA 02302-3308 | 2010-03-25 |
1669614632 | Scott James Cameron | Internal Medicine | 601 Elmwood Ave, Box 679, Rochester, NY 14642-0001 | 2009-04-06 |
1609951326 | Scott Cameron | Physical Therapist | 114 E Main St, Clinton, CT 06413-2112 | 2006-10-25 |
1649379066 | Scott E Cameron | Orthopaedic Surgery | 2116 Craig Road, Eau Claire, WI 54701 | 2006-09-22 |
Street Address |
10400 75TH ST |
City | KENOSHA |
State | WI |
Zip Code | 53142-7884 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477546737 | Mea-aea Kenosha Sc | Family Medicine | 10400 75th St, Kenosha, WI 53142-7884 | 2005-08-23 |
1548877707 | Megan Labine | Dietitian, Registered | 10400 75th St, Kenosha, WI 53142-7884 | 2020-09-30 |
1730796574 | Saralyn Paredes | Nurse Practitioner | 10400 75th St, Kenosha, WI 53142-7884 | 2020-09-25 |
1518586965 | Ariel Adelsen | Registered Nurse | 10400 75th St, Kenosha, WI 53142-7884 | 2020-04-15 |
1134757073 | Amber Jirschele | Nurse Practitioner | 10400 75th St, Kenosha, WI 53142-8323 | 2020-03-27 |
1912539974 | Kristina A Roscizewski | Nurse Practitioner | 10400 75th St, Kenosha, WI 53142-7884 | 2020-02-07 |
1386274413 | Ethan Nathaniel Mcfaddin | Pharmacist | 10400 75th St, Kenosha, WI 53142-7884 | 2020-01-16 |
1972133031 | Patricia Grzyb | Physician Assistant | 10400 75th St, Kenosha, WI 53142-7884 | 2020-01-16 |
1144873654 | Lauren Cornejo | Occupational Therapist | 10400 75th St, Kenosha, WI 53142-8323 | 2019-07-23 |
1245710771 | Brenda Joyce Woodhull | Registered Nurse | 10400 75th St, Kenosha, WI 53142-7884 | 2018-08-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588297816 | Caring Hearts Home Health Care | In Home Supportive Care | 6021-57th Ave, Suite C103, Kenosha, WI 53142 | 2020-02-14 |
1144785395 | Michael L Wrzesinski | Counselor | 4109 67th Street, Kenosha, WI 53142 | 2019-02-01 |
1720538499 | David Smith | Counselor | 10900 67th Street, Kenosha, WI 53142 | 2016-10-06 |
1326404641 | Smile Doctors Ltd | Dentist | 7003 39th Ave, Kenosha, WI 53142 | 2016-01-04 |
1225409485 | Antonia Marie Decker | Physician Assistant | 10400 75th St. Ste 204, Kenosha, WI 53142 | 2015-10-14 |
1780060582 | Joshua Haas | Pharmacist | 7701 Green Bay Road, Kenosha, IL 53142 | 2015-08-04 |
1811379225 | Dana Mary Stout | Registered Nurse | 7401 104th Avenue, Suite 110, Comprehensive Orthopaedics, S.c., Kenosha, WI 53142 | 2015-06-22 |
1669815569 | Joshua Knute Elson | Radiology | 6811 118th Ave, Kenosha, WI 53142 | 2013-04-10 |
1356610166 | Michael J Gallo | Pharmacist | 7535 North Greenbay Rd, Kenosha, WI 53142 | 2011-12-22 |
1720357999 | Orest Carnevale | Registered Nurse | 7316 155th Ct, Kenosha, WI 53142 | 2011-12-18 |
Find all providers in zip 53142 |
Taxonomy Code | 2080P0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Cardiology |
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
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/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487622973 | Allen D Wilson | Pediatrics | 7966 Maurer Rd, Cross Plains, WI 53528-8801 | 2006-03-09 |
1952304834 | Susan G Maclellan-tobert | Pediatrics | 1836 South Ave, La Crosse, WI 54601-5429 | 2005-05-24 |
1942628466 | Daniel Robert Beacher | Pediatrics | 130 2nd St, Neenah, WI 54956-2883 | 2014-04-01 |
1871836999 | Alexander Raskin | Pediatrics | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2013-03-27 |
1306192604 | Pushpa Shivaram | Pediatrics | 1000 N Oak Ave, Marshfield, WI 54449-5703 | 2012-07-24 |
1689936486 | Andrew Dale Spearman | Pediatrics | 9000 W Wisconsin Ave, Milwaukee, WI 53226 | 2012-06-08 |
1477786085 | Ann Raju Punnoose | Pediatrics | 9000 W Wisconsin Ave, Pediatric Cardiology, Milwaukee, WI 53226-4874 | 2009-08-29 |
1245469808 | Derek Brenden Hoyme | Pediatrics | 600 Highland Ave, Madison, WI 53792-0001 | 2009-07-03 |
1265673164 | Catherine Cooch Allen | Pediatrics | 600 Highland Ave, Madison, WI 53792-0001 | 2009-03-23 |
1053559559 | Suhaib Kazmouz | Pediatrics | 600 Highland Ave, Madison, WI 53792-3619 | 2009-01-22 |
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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.