Gerald R Cameron in Carterville - Physician Assistant
Gerald R Cameron - NPI 1134235955
Gerald R Cameron is a Physician Assistant in Carterville, Illinois. Gerald R Cameron practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Gerald R Cameron is 1134235955. The last update date is 2018-03-17.
Gerald R Cameron's current location address is 109 California St, Carterville, Illinois. You can contact this provider via phone number 6189858221. The mailing address for Gerald R Cameron is 109 California St, Carterville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gerald R Cameron |
|---|---|
| Address | 109 California St, Carterville, Illinois |
| Phone Number | 6189858221 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1134235955 |
|---|---|
| Provider Enumeration Date | 2006-08-22 |
| Last Updated Date | 2018-03-17 |
Provider Mailing Address Detail
| Address | 109 California St |
|---|---|
| City | Carterville |
| State | Illinois (IL) |
| Post Code | 629181923 |
| Phone Number | 6189858221 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 85001260 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 370966854002 | IL | -- | |
| 85001260 | IL | STATE LICENSE NUMBER | |
| CF3444 | IL | MEDICARE RR | |
| 370966854006 | IL | -- | |
| 370966854005 | IL | -- | |
| 132566 | IL | HEALTH ALLIANCE | |
| 370966854015 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Gerald R Cameron by the Centers for Medicare & Medicaid Services?
The Gerald R Cameron has been assigned the NPI (National Provider Identifier) 1134235955. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Gerald R Cameron is located?
The Gerald R Cameron is situated at the following address: 109 California St, Carterville, IL, 629181923.
What is Gerald R Cameron's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Gerald R Cameron's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date did the Gerald R Cameron receive its 1134235955 assignment from the Centers for Medicare & Medicaid Services?
The Gerald R Cameron was assigned its 1134235955 by the Centers for Medicare & Medicaid Services on 2006-08-22.
As of what date were the details pertaining to Gerald R Cameron last refreshed?
The information related to the Gerald R Cameron, including its address, specialty, and other relevant details, was last updated on 2018-03-17.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC