Active NPI
Donald Camillo, C.R.N.A.
- Certified Registered Nurse Anesthetist
- Lewisville, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 35211
- Practice address
- 1854 Lakepointe Dr
Lewisville, TX 75057-6442 - Phone
- (972) 315-1401
- NPI assigned
- Oct 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 35211 | TX | Primary |
Addresses
Primary practice location
1854 Lakepointe Dr
Lewisville, TX 75057-6442
Mailing address
PO Box 292394
Lewisville, TX 75029-2394
Phone (972) 668-7460
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DX62 | Other | TX | BLUE CROSS / BLUE SHIELD |
| 0071391-01 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endo Sedation LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Endo Sedation LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Endo Sedation LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Donald Camillo Crna PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
1001 Surrey Ln
Flower Mound, TX 75022
Phone (817) 337-3671
180 Bear Creek Pkwy
Keller, TX 76248
Phone (817) 337-3671
1854 Lakepointe Dr
Lewisville, TX 75057
Phone (214) 306-4116
515 S Nolen Dr
Southlake, TX 76092
Phone (817) 912-1999
Organizations & group practices 4
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.
-
- Certified Registered Nurse Anesthetist
- Lewisville, TX
- NPI 1902112303
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Keller, TX
- NPI 1588931174
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Flower Mound, TX
- NPI 1114270931
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Beaumont, TX
- NPI 1548817471
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218672000000",
"number": "1093896490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 292394",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750292394",
"telephone_number": "972-668-7460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1854 LAKEPOINTE DR",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750576442",
"telephone_number": "972-315-1401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMILLO",
"first_name": "DONALD",
"name_prefix": "Mr.",
"credential": "C.R.N.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2008-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "35211",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS / BLUE SHIELD",
"identifier": "DX62",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0071391-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lewisville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.