Camille N Stackhouse, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085.003540 Issued in IL

Practice address

855 E Golf Rd
Suite 2133
Arlington Heights, IL 60005-5222

Phone

(847) 290-9122

NPI assigned

Aug 23, 2009

Last updated

Aug 23, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, CA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Physicians Healing at Home LLC

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1295296572
  NPD Authorized official
• Healing Hands Physicians, Inc.

  • Home Health Agency
  • Park Ridge, IL
  • NPI 1275842502
  Medicare reassignment
• Insight Physicians Care LLC

  • Adult Medicine Physician
  • Bloomingdale, IL
  • NPI 1154966018
  Medicare reassignment
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  IL

  Medicare reassignment
• Doctors on Call Incorporated

  • Internal Medicine Physician
  • Rolling Meadows, IL
  • NPI 1659665586
  NPD (past)
• Hari Om Namo SC

  • Health Maintenance Organization
  • Wood Dale, IL
  • NPI 1669732582
  NPD (past)
• Home and Wound Care Physicians PC

  • Family Medicine Physician
  • Skokie, IL
  • NPI 1689809170
  NPD (past)
• Physician at Home Inc.

  • Multi-Specialty Clinic/Center
  • Tinley Park, IL
  • NPI 1780991307
  NPD (past)
• Suburban Home Physicians,LLC

  • Internal Medicine Physician
  • Schaumburg, IL
  • NPI 1770722407
  NPD (past)
• Marcus Zachary, D.O., P.C.

  • Family Medicine Physician
  • Fresno, CA
  • NPI 1710592621
  NPD (past)

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

{
    "created_epoch": "1250985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250985600000",
    "number": "1366674467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7271 S SOUTH SHORE DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606492893",
            "telephone_number": "773-314-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 E GOLF RD",
            "address_2": "SUITE 2133",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600055222",
            "telephone_number": "847-290-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACKHOUSE",
        "first_name": "CAMILLE",
        "middle_name": "N",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-23",
        "last_updated": "2009-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.003540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Spolarich, DPT
• Julie Christine Springer, M.D.
• David Anthony Srednick, O.D.
• Line Johansen Srinivasan, M.D.
• St Mary Eyecare Inc (Beyond Sight Eyecare)
• Sheila M Stadler, DT
• Robert Vincent Staib, DDS
• Mary Stallons
• Stamelos Bros LTD (Advanced Orthopedic Associates)
• Ashtyn Charlene Stang, PA-C

• Physician Assistant in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2009; 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.