Active NPI
Sergio Machado Camargo
- Internal Medicine Physician
- Plymouth, MA
National Provider Identifier
1104997451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 75498
- Legal business name
- SERGIO MACHADO CAMARGO
- Practice address
- 110 Long Pond Rd
Suite 205
Plymouth, MA 02360-2642 - Phone
- (508) 726-2284
- Fax
- (508) 747-5027
- NPI assigned
- Nov 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sergio M Camargo, M.D.
- Title
- Owner
- Phone
- (508) 746-2284
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 75498 | MA | Primary |
Addresses
Primary practice location
110 Long Pond Rd
Suite 205
Plymouth, MA 02360-2642
Mailing address
PO Box 1217
Plymouth, MA 02362-1217
Phone (508) 726-2284
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64170 | Other | MA | HPHC |
| 075498 | Other | MA | TUFTS |
| 3111334 | Medicaid | MA |
Other names 1
- Sergio Camargo,M.D.
National Provider Directory
National Provider DirectoryLocations
110 Long Pond Rd
Ste 205
Plymouth, MA 02360
Phone (508) 746-2284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194307200000",
"number": "1104997451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1217",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023621217",
"telephone_number": "508-726-2284",
"fax_number": "508-747-5027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 LONG POND RD",
"address_2": "SUITE 205",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023602642",
"telephone_number": "508-726-2284",
"fax_number": "508-747-5027"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERGIO MACHADO CAMARGO",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-10",
"last_updated": "2007-11-06",
"status": "A",
"authorized_official_last_name": "CAMARGO",
"authorized_official_first_name": "SERGIO",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "508-746-2284",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MA",
"license": "75498",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPHC",
"identifier": "64170",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "075498",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3111334",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sergio Camargo,M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Plymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.