Camille Aletha Russell McKesey, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

0430298 Issued in KS

Practice address

700 W Central
Suite 204
El Dorado, KS 67042

Phone

(316) 320-0501

Fax

(316) 321-0503

NPI assigned

Oct 19, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

Southern Illinois University School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eldorado Obstetrics and Gynecology PAGroup PAC ID 5395818843, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Susan B Allen Memorial Hospital Hospital, El Dorado, KS, CCN 170017

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: camille.russell-mckesey@directsbamh.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eldorado Obstetrics and Gynecology PA

  • Obstetrics & Gynecology Physician
  • El Dorado, KS
  • NPI 1760564199
  Medicare reassignment Care Compare group Authorized official
• Susan B. Allen Memorial Hospital

  • General Acute Care Hospital
  • El Dorado, KS
  • NPI 1700994977
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Susan B. Allen Memorial Hospital

  • General Acute Care Hospital
  • El Dorado, KS
  • NPI 1700994977
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013099456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W CENTRAL",
            "address_2": "#204",
            "city": "EL DORADO",
            "state": "KS",
            "postal_code": "67042",
            "telephone_number": "316-320-0501",
            "fax_number": "316-321-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W CENTRAL",
            "address_2": "SUITE 204",
            "city": "EL DORADO",
            "state": "KS",
            "postal_code": "67042",
            "telephone_number": "316-320-0501",
            "fax_number": "316-321-0503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL MCKESEY",
        "first_name": "CAMILLE",
        "middle_name": "ALETHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KS",
            "license": "0430298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST GUARD",
            "identifier": "453460",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KS",
            "identifier": "103157",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shirley Reed
• Guy Robert Resch, D.D.S.
• Reusser and Reusser LLC (R2 Center for Dentistry)
• Danny Ray Rice, PH.D.
• Jessica N Rollins, RDT
• Alaa Samaro, RPH
• Melynda Jade Sanchez
• Shari Kaye Scheffler, PT
• Denise Lynn Schmidt, DPT, OCS, ATC
• Courtney Tenille Schwanke, PA-C

• Obstetrics & Gynecology Physician in El Dorado, KS
• Providers in El Dorado, KS by specialty
• Obstetrics & Gynecology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.