Active NPI
Garry Cameron, M.D.
- Pediatrics Physician
- Wailuku, HI
National Provider Identifier
1144263732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD 6378
- Practice address
- 1881 Nani St
Wailuku, HI 96793-1811 - Phone
- (808) 871-7772
- Fax
- (808) 872-4031
- NPI assigned
- Jun 13, 2006
- Last updated
- Oct 19, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD 6378 | HI | Primary |
Addresses
Primary practice location
1881 Nani St
Wailuku, HI 96793-1811
Mailing address
1881 Nani St
Wailuku, HI 96793-1811
Phone (808) 871-7772
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 071290-01 | Medicaid | HI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 6378 | HI | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382140800000",
"number": "1144263732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1881 NANI ST",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967931811",
"telephone_number": "808-871-7772",
"fax_number": "808-872-4031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1881 NANI ST",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967931811",
"telephone_number": "808-871-7772",
"fax_number": "808-872-4031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMERON",
"first_name": "GARRY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2013-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "HI",
"license": "MD 6378",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "071290-01",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wailuku, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.