Organization Active NPI

Steven Camp MD Plastic Surgery PLLC

  • Plastic Surgery Physician
  • Fort Worth, TX
National Provider Identifier
1336695857
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
STEVEN CAMP MD PLASTIC SURGERY PLLC
Practice address
3416 Lovell Ave Ste 200
Fort Worth, TX 76107-5722
Phone
(817) 228-4315
NPI assigned
Aug 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Authorized official

Name
Dr. Steven Martin Camp, MD
Title
President
Phone
(817) 308-2929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

3416 Lovell Ave Ste 200
Fort Worth, TX 76107-5722

Mailing address

3416 Lovell Ave Ste 200
Fort Worth, TX 76107-5722
Phone (817) 228-4315

National Provider Directory

National Provider Directory

Locations

3455 Locke Ave
Ste 320
Fort Worth, TX 76107
Phone (817) 228-4315

3416 Lovell Ave
Ste 200
Fort Worth, TX 76107
Phone (817) 228-4315

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1336695857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3416 LOVELL AVE STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761075722",
            "telephone_number": "817-228-4315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3416 LOVELL AVE STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761075722",
            "telephone_number": "817-228-4315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN CAMP MD PLASTIC SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-26",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "CAMP",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-308-2929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.