Organization Active NPI

Camden Medical BLDG Inc

Doing business as Camden Medical Building, Inc

  • Family Medicine Physician
  • Camden, OH
National Provider Identifier
1336338029
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CAMDEN MEDICAL BLDG INC
Doing business as
Camden Medical Building, Inc
Practice address
79 W Central Ave
Camden, OH 45311-1007
Phone
(937) 452-1201
Fax
(937) 452-0004
NPI assigned
Oct 18, 2007
Last updated
Mar 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Authorized official

Name
James W Thomson, DONPI 1710089800
Title
Owner
Phone
(937) 452-1201

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

79 W Central Ave
Camden, OH 45311-1007

Mailing address

79 W Central Ave
Camden, OH 45311-1007
Phone (937) 452-1201

Other identifiers 1

IdentifierTypeStateIssuer
0115293MedicaidOH

Other names 1

  • Camden Medical Building, Inc Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050914001444 OH Part B Supplier - Clinic/Group Practice 3971536442 Receives reassigned benefits from 1 practitioner
Practice locations: Camden, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0714344Camden Medical Building Inc79 W Central Ave, Camden, OH 45311Provider-performed microscopyJan 9, 2027

National Provider Directory

National Provider Directory

Locations

79 W Central Ave
Camden, OH 45311
Phone (937) 452-1201

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1336338029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 W CENTRAL AVE",
            "city": "CAMDEN",
            "state": "OH",
            "postal_code": "453111007",
            "telephone_number": "937-452-1201",
            "fax_number": "937-452-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 W CENTRAL AVE",
            "city": "CAMDEN",
            "state": "OH",
            "postal_code": "453111007",
            "telephone_number": "937-452-1201",
            "fax_number": "937-452-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMDEN MEDICAL BLDG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "THOMSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-452-1201",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0115293",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Camden Medical Building, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Camden, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.