Charles Camisa, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME0077443 Issued in FL

Practice address

7331 Gladiolus Drive
Ft. Myers, FL 33908

Phone

(239) 437-8810

Fax

(239) 437-8875

NPI assigned

May 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Dermatology

Education

Icahn School of Medicine at Mount Sinai, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Onspot-FLGroup PAC ID 3678984937, 43 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Onspot-FL

  • Dermatology Physician
  • Fort Myers, FL
  • NPI 1144827577
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1376596908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15051 S. TAMIAMI TRAIL",
            "address_2": "SUITE 203",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33908",
            "telephone_number": "239-437-8810",
            "fax_number": "239-313-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7331 GLADIOLUS DRIVE",
            "city": "FT. MYERS",
            "state": "FL",
            "postal_code": "33908",
            "telephone_number": "239-437-8810",
            "fax_number": "239-437-8875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16461 Domestic Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339126008",
            "country_code": "US",
            "telephone_number": "877-266-7768",
            "fax_number": "603-952-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMISA",
        "first_name": "CHARLES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME0077443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263672700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine M Cameron, RN
• Jaimie Elizabeth Cameron, SLP
• Janet Joyce Cameron, CERTIFIED COUNSELOR
• Tara Cameron
• Sylvicia C Camilus
• Sandra Mercedes Camp, OTR/L
• Jean Mary Campaiola, M.D.
• Deirdre M Campbell, DMD
• Julie Ann Campbell, CHIROPRACTOR
• Kevin Campbell, M.D.

• Dermatology Physician in Ft. Myers, FL
• Providers in Ft. Myers, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.