Active NPI
Elena Camp
- Specialist
- Detroit, MI
National Provider Identifier
1295917615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 4727 Saint Antoine St
Suite 211
Detroit, MI 48201-1461 - Phone
- (248) 981-3160
- NPI assigned
- Nov 27, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
4727 Saint Antoine St
Suite 211
Detroit, MI 48201-1461
Mailing address
29155 Pointe O Woods PL Apt 106
Southfield, MI 48034-1247
Phone (248) 981-3160
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196121600000",
"number": "1295917615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29155 POINTE O WOODS PL APT 106",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480341247",
"telephone_number": "248-981-3160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4727 SAINT ANTOINE ST",
"address_2": "SUITE 211",
"city": "DETROIT",
"state": "MI",
"postal_code": "482011461",
"telephone_number": "248-981-3160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMP",
"first_name": "ELENA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-27",
"last_updated": "2007-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.