Mary Michelle Cameron, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9104110 Issued in FL

Practice address

1555 Boren Dr
Ocoee, FL 34761-2989

Phone

(407) 292-2156

Fax

(407) 241-2868

NPI assigned

Mar 8, 2007

Last updated

Dec 31, 2012By 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 FL

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

Specialty

Physician Assistant

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians

Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians

Provident Orthopedic and Sports Medicine CenterGroup PAC ID 7618258765, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Orlando Health-Health Central Hospital Hospital, Ocoee, FL, CCN 100030

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: mary.cameron.6@1337.direct.athenahealth.com

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.

• Provident Orthopedic and Sports Medicine Center

  • Orthopaedic Surgery Physician
  • Ocoee, FL
  • NPI 1952750713
  Medicare reassignment Care Compare group

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

• Orlando Health Central, Inc.

  dba Health Central

  • General Acute Care Hospital
  • Ocoee, FL
  • NPI 1033475959
  Care Compare affiliation
• Orlando Health Central, Inc.

  dba Express Care

  • Urgent Care Clinic/Center
  • Ocoee, FL
  • NPI 1780022616

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356912000000",
    "number": "1407987886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 BOREN DR",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347612989",
            "telephone_number": "407-292-2156",
            "fax_number": "407-241-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 BOREN DR",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347612989",
            "telephone_number": "407-292-2156",
            "fax_number": "407-241-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMERON",
        "first_name": "MARY",
        "middle_name": "MICHELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2012-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9104110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Cabeda
• Andrew Caines
• Shanaya Cajuste, PMHNP-BC
• Carmelo Calderone, M.D.
• Zoe Callahan, BSN, MSN, CPNP-PC
• Barbara Maria Camilotti, PT, PHD
• Leana Camodeca, NUTRITIONIST
• Kisha Campbell-Wilson, MS
• Brenda Campbell
• Terrieann Campbell

• Physician Assistant in Ocoee, FL
• Providers in Ocoee, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.
• 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.