Rodolphe Camy, M.D.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

230820-1 Issued in NY

Practice address

163 Van Buren Road,
Suite # 6
Caribou, ME 04736

Phone

(781) 929-8544

Fax

(207) 255-9537

NPI assigned

Aug 7, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Rodolphe Camy Professional name

Medicare fee-for-service enrollment

Enrolled in ME

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083623045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 VAN BUREN ROAD",
            "address_2": "SUITE # 6",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "04736",
            "telephone_number": "781-929-8544",
            "fax_number": "207-255-9537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 VAN BUREN ROAD,",
            "address_2": "SUITE # 6",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "04736",
            "telephone_number": "781-929-8544",
            "fax_number": "207-255-9537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMY",
        "first_name": "RODOLPHE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "230820-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RODOLPHE",
            "last_name": "CAMY",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Brent Hixon
• Alisa Brewer, MHRT-C
• Marissa Brouette-Keiser, LCPCCC
• Krista Burchill, M
• Martha A Cade, PHD
• Vicki J. Canales
• Candie Sampson
• Caribou Eyecare, P.a.
• Caribou Family Health Center
• Caribou Healthcare Center LLC

• Primary Care Clinic/Center in Caribou, ME
• Providers in Caribou, ME by specialty
• Primary Care Clinic/Center in Maine

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.