Individual provider Active NPI

Anthony B Cameron, D.O.

  • Emergency Medicine Physician
  • Peoria, IL
National Provider Identifier
1487898524
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
O-1358 Issued in ID
Practice address
530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone
(309) 655-2000
NPI assigned
Apr 20, 2009
Sex
Male
Sole proprietor
No

Organizations & group practices 11

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.

Hospital & facility affiliations 1

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

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Arizona College of Osteopathic Medicine Mid Western University, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Lincoln County Hospital District 66 clinicians

Practice addresses (Care Compare)

901 Adams St
Afton, WY 83110-9621
Phone (307) 885-5800

Hospital & facility affiliations

  • Star Valley Medical Center Hospital, Afton, WY, CCN 531313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, ID, WY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20120313000859 IL Practitioner - Emergency Medicine 7517126337
I20200721001728 ID Practitioner - Emergency Medicine 7517126337 Reassigns benefits to 3 organizations
I20250129002291 WY Practitioner - Emergency Medicine 7517126337 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
O-1358IDMDEmergency Medicine Physician
036.129070ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Idaho Pathology Laboratory Physicians Current Accepting new patients
North Lincoln County Hospital District CurrentSince Jan 23, 2025 Accepting new patients
Ihc Health Services, Inc. CurrentSince Dec 17, 2023 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
Cep America, LLC Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services Inc CurrentSince Dec 17, 2023 Accepting new patients
North Lincoln County Hospital District CurrentSince Jan 23, 2025 Accepting new patients
Rocky Mountain Physician Group LLC Emergency Medicine CurrentSince Aug 1, 2020 Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152

1501 Hiland Ave
Burley, ID 83318
Phone (208) 678-4444

777 Hospital Way
Pocatello, ID 83201
Phone (208) 239-1000

901 Adams St
Afton, WY 83110
Phone (307) 885-5800

Interoperability endpoints

  • Direct secure messaging: acameron294622@ahs.direct-ci.com

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 036.129070 IL
Emergency Medicine Physician 207P00000X O-1358 ID Primary

Addresses

NPPES NPI Registry

Primary practice location

530 NE Glen Oak Ave
Peoria, IL 61637-0001

Mailing address

313 Independence Dr
East Peoria, IL 61611-5563
Phone (970) 381-0846

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 9, 2024.

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1487898524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 INDEPENDENCE DR",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "616115563",
            "telephone_number": "970-381-0846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 NE GLEN OAK AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616370001",
            "telephone_number": "309-655-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMERON",
        "first_name": "ANTHONY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-20",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036.129070",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ID",
            "license": "O-1358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.