Active NPI
Philip Ryan Molarte Camilon, M.D.
- Pediatric Otolaryngology Physician
- Danvers, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Otolaryngology Physician
- License
- 1016606
- Practice address
- 104 Endicott St Ste 100
Danvers, MA 01923-0009 - Phone
- (978) 745-6601
- Fax
- (978) 744-4872
- NPI assigned
- Jun 25, 2014
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 1016606 | MA | |
| Pediatric Otolaryngology Physician | 207YP0228X | 11273467-1205 | UT | |
| Surgery Physician | 208600000X | 37240 | SC | |
| Pediatric Otolaryngology Physician | 207YP0228X | 1016606 | MA | Primary |
Addresses
Primary practice location
104 Endicott St Ste 100
Danvers, MA 01923-0009
Mailing address
104 Endicott St Ste 100
Danvers, MA 01923-0009
Phone (978) 745-6601
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Boston University School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
104 Endicott St
Suite 100
Danvers, MA 01923-0009
Phone (978) 745-6601
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37240 | SC | MD | Pharmacist |
| 11273467-1205 | UT | MD | Pediatric Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Philip Ryan M Camilon, MD | Otolaryngology | Current | Accepting new patients |
| North Shore Ear, Nose & Throat Associates, PC | Otolaryngology | Current | Accepting new patients |
| North Shore Ear, Nose & Throat Associates | Otolaryngology | Current | Accepting new patients |
Locations
505 S Main St
Ste 275
Orange, CA 92868
Phone (714) 836-6607
100 Cummings Ctr
Ste 136G
Beverly, MA 01915
104 Endicott St
Ste 100
Danvers, MA 01923
Phone (978) 745-6601
Interoperability endpoints
- camilon.philipryan.nsent@direct.partners.masshiway.net
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Otolaryngology Physician
- Salem, MA
- NPI 1619940780
-
- Otolaryngology Physician
- Orange, CA
- NPI 1962013870
-
- Otolaryngology Physician
- Danvers, MA
- NPI 1447657564
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Salem, MA
- NPI 1730121633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708387200000",
"number": "1285049510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 ENDICOTT ST STE 100",
"city": "DANVERS",
"state": "MA",
"postal_code": "019230009",
"telephone_number": "978-745-6601",
"fax_number": "978-744-4872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 ENDICOTT ST STE 100",
"city": "DANVERS",
"state": "MA",
"postal_code": "019230009",
"telephone_number": "978-745-6601",
"fax_number": "978-744-4872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMILON",
"first_name": "PHILIP RYAN",
"middle_name": "MOLARTE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-25",
"last_updated": "2024-02-20",
"certification_date": "2024-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MA",
"license": "1016606",
"primary": false
},
{
"code": "207YP0228X",
"taxonomy_group": "",
"desc": "Otolaryngology, Pediatric Otolaryngology",
"state": "UT",
"license": "11273467-1205",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "SC",
"license": "37240",
"primary": false
},
{
"code": "207YP0228X",
"taxonomy_group": "",
"desc": "Otolaryngology, Pediatric Otolaryngology",
"state": "MA",
"license": "1016606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danvers, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.