Nicole Decamp, MD, PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

19832 Issued in OK

Legal business name

NICOLE DECAMP, MD, PC

Practice address

6201 N Santa Fe Ave
#205
Oklahoma City, OK 73118-7538

Phone

(405) 848-2800

NPI assigned

Mar 16, 2007

Organization subpart

No

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

Authorized official

Name

Nicole Decamp, MDNPI 1942246475

Title

Owner

Phone

(405) 848-2800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole Decamp, M.D.

  • Dermatology Physician
  • Oklahoma City, OK
  • NPI 1942246475
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1255455408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2382",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731012382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 N SANTA FE AVE",
            "address_2": "#205",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731187538",
            "telephone_number": "405-848-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE DECAMP, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "DECAMP",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-848-2800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "OK",
            "license": "19832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terry Lee Nickels, D.O.
• Evan Hal Nicklas
• Braden James Nickle, DMD
• Sheryl Nicks
• Sydney Lynn Nicol
• Nicole M. Kish, OD & Associates, PC
• Teodora O Nicolescu, MD
• Nicoma Park Dental PLLC
• Chastity Nida
• Korbin Alaina Nida

• Dermatology Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Dermatology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.