Individual provider Active NPI

Douglas R Cameron, M.S.

  • Audiologist
  • Roanoke, VA
National Provider Identifier
1548258478
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2201000533 Issued in VA
Practice address
2155 Electric Rd
Suite C
Roanoke, VA 24018-2302
Phone
(540) 774-4441
Fax
(540) 774-3393
NPI assigned
Oct 13, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

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
Audiologist 231H00000X 2201000533 VA Primary

Addresses

Primary practice location

2155 Electric Rd
Suite C
Roanoke, VA 24018-2302

Mailing address

2155 Electric Rd
Suite C
Roanoke, VA 24018-2302
Phone (540) 774-4441

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111104000161 VA Practitioner - Qualified Audiologist 6103976519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hearing Health Associates PCGroup PAC ID 5395895700, 2 clinicians

Practice addresses (Care Compare)

2404 Electric Rd
Suite a
Roanoke, VA 24018-3525
Phone (540) 774-4441

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2201000533VAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hearing Health Associates, PC Audiologist CurrentSince Jun 1, 2000 Accepting new patients
The Hearing Clinic Audiologist Past Accepting new patients
Blue Ridge E N T & P S Inc. PastSince May 26, 1995 Accepting new patients

Locations

2155 Electric Rd
Ste C
Roanoke, VA 24018
Phone (540) 774-0404

2404 Electric Rd
Ste A
Roanoke, VA 24018
Phone (540) 774-4441

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548258478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 ELECTRIC RD",
            "address_2": "SUITE C",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240182302",
            "telephone_number": "540-774-4441",
            "fax_number": "540-774-3393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 ELECTRIC RD",
            "address_2": "SUITE C",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240182302",
            "telephone_number": "540-774-4441",
            "fax_number": "540-774-3393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMERON",
        "first_name": "DOUGLAS",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201000533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.