Individual provider Active NPI

Cameron Maxon, DO

  • Anesthesiology Physician
  • Killeen, TX
National Provider Identifier
1356907638
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
2287 Issued in NE
Practice address
HQ Co Carl R Darnall AMC
BLDG 36050 S 58TH St, Ft Cavazos
Killeen, TX 76544
Phone
(210) 916-8666
NPI assigned
May 13, 2019
Last updated
May 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 2287 NE Primary

Addresses

Primary practice location

HQ Co Carl R Darnall AMC
BLDG 36050 S 58TH St, Ft Cavazos
Killeen, TX 76544

Mailing address

HQ Co Carl R Darnall AMC
BLDG 36050 S 58TH St, Ft Cavazos
Killeen, TX 76544
Phone (210) 916-8666

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
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2287NEMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1356907638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HQ CO CARL R DARNALL AMC",
            "address_2": "BLDG 36050 S 58TH ST, FT CAVAZOS",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "76544",
            "telephone_number": "210-916-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HQ CO CARL R DARNALL AMC",
            "address_2": "BLDG 36050 S 58TH ST, FT CAVAZOS",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "76544",
            "telephone_number": "210-916-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXON",
        "first_name": "CAMERON",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-13",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NE",
            "license": "2287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.