Individual provider Active NPI

John Dee Cambron, DO

  • Emergency Medicine Physician
  • Pella, IA
National Provider Identifier
1376077321
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DO-05484 Issued in IA
Practice address
405 Monroe St
Pella, IA 50219-1290
Phone
(641) 628-6649
Fax
(641) 628-6699
NPI assigned
Apr 17, 2017
Last updated
Aug 4, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X DO-05484 IA Primary

Addresses

Primary practice location

405 Monroe St
Pella, IA 50219-1290

Mailing address

405 Monroe St
Pella, IA 50219-1290
Phone (641) 628-6649

Other practice location 1

404 Jefferson St
Pella, IA 50219-1257
Phone (641) 628-6649

Other identifiers 2

IdentifierTypeStateIssuer
1376077321MedicaidIA
DO-05484OtherIAIOWA LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address prhc@direct.pellahealth.kobledirect.com Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190625003335 TX Practitioner - Emergency Medicine 3577897586 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulf Coast Emergency Physicians, PLLCGroup PAC ID 6204280480, 108 clinicians

Practice addresses (Care Compare)

600 Elizabeth St
Corpus Christi, TX 78404-2235
Phone (361) 881-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Conner Emergency Medicine Associates, PA Emergency Medicine CurrentSince Aug 1, 2020 Accepting new patients
Guadalupe Emergency Medicine Associates, PA Emergency Medicine CurrentSince Jun 11, 2019 Accepting new patients
Nueces Emergency Medicine Associates PA Emergency Medicine CurrentSince Dec 12, 2022 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Jun 23, 2019 Accepting new patients
Gulf Coast Emergency Physicians, PLLC Emergency Medicine CurrentSince Sep 1, 2023 Accepting new patients
C3Erow, LLC Past Accepting new patients
Christus Spohn Health System Corporation Past Accepting new patients

Locations

2500 E Main St
Alice, TX 78332
Phone (361) 664-4376

1500 E Houston St
Beeville, TX 78102
Phone (361) 354-2000

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

2606 Hospital Blvd
Corpus Christi, TX 78405
Phone (361) 902-4151

2606 Hospital Blvd
#5W
Corpus Christi, TX 78405
Phone (361) 902-6570

3533 S Alameda St
Corpus Christi, TX 78411
Phone (361) 694-5445

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

3349 S Highway 181
Kenedy, TX 78119
Phone (830) 216-2606

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1492387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1376077321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 MONROE ST",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502191290",
            "telephone_number": "641-628-6649",
            "fax_number": "641-628-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 MONROE ST",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502191290",
            "telephone_number": "641-628-6649",
            "fax_number": "641-628-6699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "404 Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Pella",
            "state": "IA",
            "postal_code": "502191257",
            "country_code": "US",
            "telephone_number": "641-628-6649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMBRON",
        "first_name": "JOHN",
        "middle_name": "DEE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-17",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "DO-05484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376077321",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA LICENSE",
            "identifier": "DO-05484",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "prhc@direct.pellahealth.kobledirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "405 Monroe St",
            "city": "Pella",
            "state": "IA",
            "country_code": "US",
            "postal_code": "502191290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pella, IA

Sources for this page

Verify at the official NPI Registry.