Tommy Dean Camp, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

880 Issued in OK

Practice address

1101 NW 178TH St
Suite B
Edmond, OK 73012-4281

Phone

(405) 285-2161

Fax

(405) 726-8277

NPI assigned

Jun 9, 2006

Last updated

Apr 22, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Edmond Urgent Care Inc.Group PAC ID 0547494254, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Edmond Urgent Care Inc.

  • Urgent Care Clinic/Center
  • Edmond, OK
  • NPI 1346687241
  Medicare reassignment Care Compare group Authorized official
• Creekside Urgent Care LLC

  • Urgent Care Clinic/Center
  • Edmond, OK
  • NPI 1902426737
  NPD Authorized official
• Community Hospital LLC

  • General Practice Physician
  • Oklahoma City, OK
  • NPI 1730366832
  NPD (past)
• Mercy Access LLC

  • Family Medicine Physician
  • Edmond, OK
  • NPI 1629392204
  NPD (past)
• Rha Stroud Inc

  dba Stroud Regional Medical Center

  • Critical Access Hospital
  • Stroud, OK
  • NPI 1437107117
  NPD (past)
• Seminole Hma, LLC

  dba AllianceHealth Seminole

  • General Acute Care Hospital
  • Seminole, OK
  • NPI 1891980124
  NPD (past)

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1508807520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 NW 178TH ST",
            "address_2": "SUITE B",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730124281",
            "telephone_number": "405-285-2161",
            "fax_number": "405-726-8277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 NW 178TH ST",
            "address_2": "SUITE B",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730124281",
            "telephone_number": "405-285-2161",
            "fax_number": "405-726-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMP",
        "first_name": "TOMMY",
        "middle_name": "DEAN",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1002275A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Callaway, LMFT
• Umo Callins, MS,RD/LD
• Caltre LLC (Tower Dental)
• Simone Nohemi Camarillo, M.ED. LPC CANDIDIATE
• Linda Kupchak Cameron, M.A., CCC'SLP
• Campbell Child Psychology, LLC
• Campbell Comprehensive Psychological Services, LLC (PCIT & TCIT Training)
• Christopher Campbell, PH.D.
• Danielle Nicole Campbell, PH.D.
• Eric J Campbell, PA-C

• Medical Physician Assistant in Edmond, OK
• Providers in Edmond, OK by specialty
• Medical Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; 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.

Verify at the official NPI Registry.