Organization Active NPI

Timothy R Kamerman DC PA

  • Chiropractor
  • Searcy, AR
National Provider Identifier
1497706592
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1142 Issued in AR
Legal business name
TIMOTHY R KAMERMAN DC PA
Practice address
2924 Hawkins Dr
Searcy, AR 72143-4802
Phone
(501) 268-2273
Fax
(501) 268-6969
NPI assigned
May 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2012

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

Authorized official

Name
Dr. Timothy R Kamerman, D.C., P.A.NPI 1902804743
Title
Doctor and Owner
Phone
(501) 268-2273

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1142 AR Primary

Addresses

Primary practice location

2924 Hawkins Dr
Searcy, AR 72143-4802

Mailing address

2924 Hawkins Dr
Searcy, AR 72143-4802
Phone (501) 268-2273

Other identifiers 14

IdentifierTypeStateIssuer
7127560OtherARAETNA # DR. KAMERMAN
P00182837OtherARRAIL RD MEDCARE- WARD
667519OtherARUNITED HEALTH CARE- WARD
1902804743OtherARNAT PROVIDER #- KAMERMAN
7207571OtherARAETNA # DR. WARD
DA6266OtherARGROUP # RAIL RD MEDCARE
6567854OtherARCIGNA # FOR DR. WARD
7435226OtherARCIGNA # DR. KAMERMAN
5C010OtherARBLUE CROSS BS GROUP #
P00065498OtherARRAIL RD MEDCARE-KAMERMAN
1366440182OtherARNATIONAL PROVIDER #- WARD
59159OtherARBLUE CROSS BS #- KAMERMAN
4420124OtherARUNITED HEALTH CARE-KAMERM
5X654OtherARBLUE CROSS BS #- WARD

Other names 1

  • Chiropractic Care Clinic Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040614000835 AR Part B Supplier - Clinic/Group Practice 0840289492 Receives reassigned benefits from 2 practitioners
Practice locations: Searcy, AR

National Provider Directory

National Provider Directory

Locations

2924 Hawkins Dr
Searcy, AR 72143
Phone (501) 268-2273

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1497706592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2924 HAWKINS DR",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721434802",
            "telephone_number": "501-268-2273",
            "fax_number": "501-268-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2924 HAWKINS DR",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721434802",
            "telephone_number": "501-268-2273",
            "fax_number": "501-268-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY R KAMERMAN DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-13",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "KAMERMAN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DOCTOR AND OWNER",
        "authorized_official_telephone_number": "501-268-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., P.A."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA # DR. KAMERMAN",
            "identifier": "7127560",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL RD MEDCARE- WARD",
            "identifier": "P00182837",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE- WARD",
            "identifier": "667519",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NAT PROVIDER #- KAMERMAN",
            "identifier": "1902804743",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA # DR. WARD",
            "identifier": "7207571",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP # RAIL RD MEDCARE",
            "identifier": "DA6266",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA # FOR DR. WARD",
            "identifier": "6567854",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA # DR. KAMERMAN",
            "identifier": "7435226",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BS GROUP #",
            "identifier": "5C010",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL RD MEDCARE-KAMERMAN",
            "identifier": "P00065498",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER #- WARD",
            "identifier": "1366440182",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BS #- KAMERMAN",
            "identifier": "59159",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE-KAMERM",
            "identifier": "4420124",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BS #- WARD",
            "identifier": "5X654",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiropractic Care Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Searcy, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.