Darryl Shane Camp, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

K2317 Issued in TX

Practice address

1180 Seton Pkwy
Suite 300
Kyle, TX 78640-6178

Phone

(512) 551-0846

Fax

(512) 828-8785

NPI assigned

Jul 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dcamp159525@directhoustonmethodist.org
• FHIR API: https://api.platform.athenahealth.com/23550/brand/1/csg/1/fhir/r4

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.

• Hill Country Monitoring LLC

  • Neurological Surgery Physician
  • Austin, TX
  • NPI 1538351267
  Medicare reassignment NPD
• TMH Physician Associates PLLC

  • Ophthalmology Physician
  • Houston, TX
  • NPI 1275779225
  Medicare reassignment NPD
• TMH Physician Associates PLLC

  • Orthopaedic Surgery Physician
  • Spring, TX
  • NPI 1043061351
  NPD
• Hill Country Monitoring LLC

  • Neurological Surgery Physician
  • Jackson, MS
  • NPI 1750759163
  NPD
• Diagnostic Clinic of Longview PA

  • Internal Medicine Physician
  • Longview, TX
  • NPI 1386638468

  Neurology

  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330473600000",
    "number": "1366464745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11211 TAYLOR DRAPER LN STE 202",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787593971",
            "telephone_number": "512-674-9070",
            "fax_number": "512-342-9949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 SETON PKWY",
            "address_2": "SUITE 300",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786406178",
            "telephone_number": "512-551-0846",
            "fax_number": "512-828-8785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMP",
        "first_name": "DARRYL",
        "middle_name": "SHANE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2012-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "K2317",
            "primary": true
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "TX",
            "license": "K2317",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096306807",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert D Byers, LMFT
• C a Ryan Enterprises Limited Liability Company
• C. Erik Anderson, MD, PLLC
• Yesenia Calderon
• Kristen Barkow Calnan, WHNP-BC
• Mitra Margaret Campbell, D.O.
• Mariah Ashley Cano
• Christina Marie Cantu
• Marissa Leah Cantu
• Nicolis Kristian Cantu, RBT

• Neurology Physician in Kyle, TX
• Providers in Kyle, TX by specialty
• Neurology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.