Cameron Darius Clement, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

3880 Roger Brooke Dr.
C/O General Surgery Dept/Sammc
Fort Sam Houston, TX 78234-8548

Phone

(509) 590-8908

NPI assigned

Jul 20, 2006

Sex

Male

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 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Plastic Surgery Northwest PLLCGroup PAC ID 8022105329, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Prov Sacred HRT Med Ctr & Childs Hosp. Hospital, Spokane, WA, CCN 500054

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cameron.clement@hca8.eclinicaldirectplus.com
• Direct secure messaging: cclement444784@direct.multicare.org
• Direct secure messaging: cclement1154074@wm.providencedirect.org

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

• Plastic Surgery Northwest PLLC

  • Plastic Surgery Physician
  • Spokane, WA
  • NPI 1780714139
  Medicare reassignment Care Compare group
• Providence Health & Services Washington

  dba Providence Medical Group

  • Pulmonary Disease Physician
  • Spokane, WA
  • NPI 1194099390
  Medicare reassignment NPD
• Plastic Surgicentre, Inc

  dba The Plastic SurgiCentre, Inc

  • Ambulatory Surgical Clinic/Center
  • Spokane, WA
  • NPI 1083780662
  Medicare reassignment
• Providence Health & Services Washington

  dba PMG PHC Providence Express Care

  • General Practice Physician
  • Spokane, WA
  • NPI 1306391446
  NPD
• E.a. Sohn Inc., P.S.

  dba Indian Trail Geriatric Medicine

  • Geriatric Medicine (Family Medicine) Physician
  • Spokane, WA
  • NPI 1689674244
  NPD (past)
• Prevention NW

  • Clinic/Center
  • Spokane Valley, WA
  • NPI 1629666029
  NPD (past)

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

• Providence Health & Services - Wa

  dba Prov Scred Hrt Med Ctr & Chlds Hos

  • General Acute Care Hospital
  • Spokane, WA
  • NPI 1144471715
  Care Compare affiliation

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1023038916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21327 LA PENA DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782582939",
            "telephone_number": "509-590-8908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 ROGER BROOKE DR.",
            "address_2": "C/O GENERAL SURGERY DEPT/SAMMC",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782348548",
            "telephone_number": "509-590-8908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "820 S McClellan St Ste 118",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992042446",
            "country_code": "US",
            "telephone_number": "509-838-1010",
            "fax_number": "509-838-0721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEMENT",
        "first_name": "CAMERON",
        "middle_name": "DARIUS",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA CERTIFICATION",
            "identifier": "1050306",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cclement1154074@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "820 S McClellan St Ste 118",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992042446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bradley Cole Clarkson, PHARMD
• Beverly Dale Clay
• Conner Joseph Clay, MD
• Sarah Icyline Clayton, LCSW
• Michael Neill Clemenshaw, M.D.
• Logan Gentry Clemons, MD
• Brian Arthur Clever
• Guy Travis Clifton, M.D,
• Francis Joseph Cloran, MD
• Dillon Cobb

• Physician Assistant in Fort Sam Houston, TX
• Providers in Fort Sam Houston, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; 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.