Active NPI
Rodolfo Bayle Ocampo, CRNA
- Certified Registered Nurse Anesthetist
- La Plata, MD
National Provider Identifier
1306997267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R064594
- Practice address
- 701 E Charles St
Civista Medical Center
La Plata, MD 20646-9581 - Phone
- (301) 609-4152
- NPI assigned
- Jan 16, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R064594 | MD | Primary |
Addresses
Primary practice location
701 E Charles St
Civista Medical Center
La Plata, MD 20646-9581
Mailing address
1310 Redwood Cir
La Plata, MD 20646-9581
Phone (301) 934-8738
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 430051194 | Other | MEDICARE RAILROAD | |
| 699300100 | Medicaid | MD |
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
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newbridge Surgery Center at Prince Frederick, LLC | Past | Accepting new patients | |
| Capital Pain Management & Anesthesia Associates, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- La Plata, MD
- NPI 1407886781
-
- Ambulatory Surgical Clinic/Center
- Prince Frederick, MD
- NPI 1285944504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248652800000",
"number": "1306997267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 REDWOOD CIR",
"city": "LA PLATA",
"state": "MD",
"postal_code": "206469581",
"telephone_number": "301-934-8738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 E CHARLES ST",
"address_2": "CIVISTA MEDICAL CENTER",
"city": "LA PLATA",
"state": "MD",
"postal_code": "206469581",
"telephone_number": "301-609-4152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OCAMPO",
"first_name": "RODOLFO",
"middle_name": "BAYLE",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-16",
"last_updated": "2009-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MD",
"license": "R064594",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "430051194",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "699300100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in La Plata, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.