Active NPI
Arnold Camacho Olegario, M.D.
- Pediatrics Physician
- Jacksonville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2006-01405
- Practice address
- 118 Memorial Dr
Jacksonville, NC 28546-6328 - Phone
- (910) 353-0581
- Fax
- (910) 577-1150
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2006-01405 | NC | Primary |
Addresses
Primary practice location
118 Memorial Dr
Jacksonville, NC 28546-6328
Mailing address
PO Box 986513
Department 100
Boston, MA 02298-6513
Phone (910) 219-8326
Other practice location 1
120 Memorial Dr
Jacksonville, NC 28546-6328
Phone (910) 353-0581
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 143JK | Other | NC | BCBS |
| 5905015 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amm Healthcare, PA | Pediatrics | Current | Accepting new patients |
| Jacksonville Behavior and Mental Health | Current | Accepting new patients | |
| Jacksonville Children'S and Multispecialty Clinic, PA | Pediatrics | Current | Accepting new patients |
| Family Care Clinic, P.a. | Past | Accepting new patients |
Locations
114C Memorial Dr
Jacksonville, NC 28546
Phone (910) 346-3976
118 Memorial Dr
Jacksonville, NC 28546
Phone (910) 353-0581
120 Memorial Dr
Jacksonville, NC 28546
Phone (910) 353-0581
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Jacksonville, NC
- NPI 1164519070
Pediatrics
-
- Adolescent and Children Mental Health Clinic/Center
- Jacksonville, NC
- NPI 1770771750
-
- Clinic/Center
- Jacksonville, NC
- NPI 1316033590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699228800000",
"number": "1447361480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 986513",
"address_2": "DEPARTMENT 100",
"city": "BOSTON",
"state": "MA",
"postal_code": "022986513",
"telephone_number": "910-219-8326",
"fax_number": "910-939-4269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 MEMORIAL DR",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285466328",
"telephone_number": "910-353-0581",
"fax_number": "910-577-1150"
}
],
"practiceLocations": [
{
"address_1": "120 Memorial Dr",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "NC",
"postal_code": "285466328",
"country_code": "US",
"telephone_number": "910-353-0581",
"fax_number": "910-353-1351",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLEGARIO",
"first_name": "ARNOLD",
"middle_name": "CAMACHO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2023-11-06",
"certification_date": "2023-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "2006-01405",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "143JK",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5905015",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.