Active NPI
Anthony B Cameron, D.O.
- Emergency Medicine Physician
- Peoria, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- O-1358
- 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.
-
- Emergency Medicine Physician
- Pocatello, ID
- NPI 1851808133
Emergency Medicine, ID
-
- Nursing Facility/Intermediate Care Facility
- Afton, WY
- NPI 1255421228
-
- Ambulance
- Afton, WY
- NPI 1285657007
-
- Clinical Medical Laboratory
- Pocatello, ID
- NPI 1336490119
-
- Obstetrics & Gynecology Physician
- Burley, ID
- NPI 1043324585
-
- Psychiatry Physician
- St George, UT
- NPI 1023843844
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
Practice addresses (Care Compare)
901 Adams St
Afton, WY 83110-9621
Phone (307) 885-5800
Hospital & facility affiliations
- Star Valley Medical Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, ID, WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| O-1358 | ID | MD | Emergency Medicine Physician |
| 036.129070 | IL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Idaho Pathology Laboratory Physicians | Current | Accepting new patients | |
| North Lincoln County Hospital District | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America, LLC | Emergency Medicine | Current | Accepting new patients |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| North Lincoln County Hospital District | Current | Accepting new patients | |
| Rocky Mountain Physician Group LLC | Emergency Medicine | Current | 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
- acameron294622@ahs.direct-ci.com
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 RegistryPrimary 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.