NPIMap

Individual provider Active NPI

Cameron Gordon Hampton Smith, M.D.

  • Internal Medicine Physician
  • Burien, WA
National Provider Identifier
1144275272
Registry record updated Mar 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD60631260 Issued in WA
Practice address
16045 1St Ave S FL 1
Burien, WA 98148-1401
Phone
(206) 965-4100
Fax
(206) 965-4119
NPI assigned
May 24, 2006
Last updated
Mar 14, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD60631260 WA Primary

Addresses

Primary practice location

16045 1St Ave S FL 1
Burien, WA 98148-1401

Mailing address

263 Farmington Ave
Primary Care Internal Medicine Residency L2104
Farmington, CT 06030-1234
Phone (860) 679-4017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040701000411 WA Practitioner - Internal MedicinePractitioner - Chiropractic 5294712931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

16045 1St Ave S
FL 1
Burien, WA 98148-1401
Phone (206) 965-4124

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD60631260WAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group Current Accepting new patients
Franciscan Medical Group Internal Medicine CurrentSince Sep 19, 2016 Accepting new patients
Ballard Central Chiropractic Inc Past Accepting new patients
Bend to Mend Physical Therapy, LLC Past Accepting new patients
Franciscan Medical Group Past Accepting new patients
Ballard Neighborhood Doctors PLLC PastSince Jan 1, 2009 Accepting new patients

Locations

16045 1st Ave S
Fl 1
Burien, WA 98148
Phone (206) 965-4100

16110 8th Ave SW
Ste A2
Burien, WA 98166
Phone (206) 242-8280

34503 9th Ave S
Ste 130
Federal Way, WA 98003
Phone (253) 835-5340

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520985600000",
    "number": "1144275272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "address_2": "PRIMARY CARE INTERNAL MEDICINE RESIDENCY L2104",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060301234",
            "telephone_number": "860-679-4017",
            "fax_number": "860-679-1621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16045 1ST AVE S FL 1",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981481401",
            "telephone_number": "206-965-4100",
            "fax_number": "206-965-4119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CAMERON",
        "middle_name": "GORDON HAMPTON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2018-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD60631260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burien, WA

Sources for this page

Verify at the official NPI Registry.