Individual provider Active NPI

Cary Ray Camron, LPN

  • Licensed Practical Nurse
  • Englewood, OH
National Provider Identifier
1447458237
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN072341 Issued in OH
Practice address
4615 Dartford Rd
Englewood, OH 45322-2517
Phone
(937) 832-9977
Fax
(937) 832-9977
NPI assigned
Jul 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN072341 OH Primary

Addresses

Primary practice location

4615 Dartford Rd
Englewood, OH 45322-2517

Mailing address

4615 Dartford Rd
Englewood, OH 45322-2517
Phone (937) 832-9977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PN072341OHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447458237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4615 DARTFORD RD",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "453222517",
            "telephone_number": "937-832-9977",
            "fax_number": "937-832-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4615 DARTFORD RD",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "453222517",
            "telephone_number": "937-832-9977",
            "fax_number": "937-832-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMRON",
        "first_name": "CARY",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN072341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.