Organization Active NPI

Sergio Machado Camargo

  • Internal Medicine Physician
  • Plymouth, MA
National Provider Identifier
1104997451
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
75498 Issued in MA
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

Updated by the provider on Nov 6, 2007

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
64170OtherMAHPHC
075498OtherMATUFTS
3111334MedicaidMA

Other names 1

  • Sergio Camargo,M.D. Other name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.