Individual provider Active NPI

Cameron J Ourada, PA-C

  • Medical Physician Assistant
  • Blair, NE
National Provider Identifier
1376516161
Registry record updated Feb 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1060 Issued in NE
Practice address
810 N 22ND St
Blair, NE 68008
Phone
(402) 426-1629
Fax
(402) 426-1297
NPI assigned
Feb 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1060 NE Primary

Addresses

Primary practice location

810 N 22ND St
Blair, NE 68008

Mailing address

810 North 22ND Street
Blair, NE 68008
Phone (402) 426-1629

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040610001298 NE Practitioner - Physician Assistant 3577546506 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1060NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North Platte Nebraska Hospital Corporation CurrentSince Jan 1, 2020 Accepting new patients
Nebraska Orthopaedic Hospital LLC Past Accepting new patients

Locations

717 Brown St
Alma, NE 68920
Phone (308) 928-2151

601 W Leota St
North Platte, NE 69101
Phone (308) 534-2288

Interoperability endpoints

  • Direct secure messaging: cameron.ourada@hfm.directbygreenway.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391644800000",
    "number": "1376516161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 NORTH 22ND STREET",
            "city": "BLAIR",
            "state": "NE",
            "postal_code": "68008",
            "telephone_number": "402-426-1629",
            "fax_number": "402-426-1297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 N 22ND ST",
            "city": "BLAIR",
            "state": "NE",
            "postal_code": "68008",
            "telephone_number": "402-426-1629",
            "fax_number": "402-426-1297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OURADA",
        "first_name": "CAMERON",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2014-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NE",
            "license": "1060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blair, NE

Sources for this page

Verify at the official NPI Registry.