Active NPI
Julie K. McCammon, M.D
- Obstetrics & Gynecology Physician
- Bridgeport, WV
National Provider Identifier
1144468737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- WV1559
- Practice address
- 527 Medical Park Dr
Suite 104
Bridgeport, WV 26330-9007 - Phone
- (304) 933-3868
- Fax
- (304) 933-3870
- NPI assigned
- Feb 4, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | WV1559 | WV | Primary |
Addresses
Primary practice location
527 Medical Park Dr
Suite 104
Bridgeport, WV 26330-9007
Mailing address
527 Medical Park Dr
Suite 104
Bridgeport, WV 26330-9007
Phone (304) 933-3868
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0091494000 | Medicaid | WV | |
| WV1559 | Other | WV | THE HEALTH PLAN |
| 001710806 | Other | WV | MOUNTAIN STATE BC/BS |
| DO6136 | Other | WV | RAILROAD MEDICARE |
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 |
|---|---|---|---|
| WV1559 | WV | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421107200000",
"number": "1144468737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "527 MEDICAL PARK DR",
"address_2": "SUITE 104",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263309007",
"telephone_number": "304-933-3868",
"fax_number": "304-933-3870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "527 MEDICAL PARK DR",
"address_2": "SUITE 104",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263309007",
"telephone_number": "304-933-3868",
"fax_number": "304-933-3870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCAMMON",
"first_name": "JULIE",
"middle_name": "K.",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-04",
"last_updated": "2015-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WV",
"license": "WV1559",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0091494000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THE HEALTH PLAN",
"identifier": "WV1559",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOUNTAIN STATE BC/BS",
"identifier": "001710806",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DO6136",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bridgeport, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.