Active NPI
Cameron Mitchell Thurman, M.D.
- Student in an Organized Health Care Education/Training Program
- Lackland AFB, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 2200 Bergquist Dr
Suite 1, Attn Credentials
Lackland AFB, TX 78236-9907 - Phone
- (210) 467-5080
- NPI assigned
- Aug 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
2200 Bergquist Dr
Suite 1, Attn Credentials
Lackland AFB, TX 78236-9907
Mailing address
50 Sable Cyn
San Antonio, TX 78258-4857
Phone (210) 467-5080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Medical University of South Carolina College of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 Commonwealth Ave
Williamsburg, VA 23185-5229
Phone (757) 585-2250
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.91 of 100
- Quality
- 92.86
- Promoting interoperability
- 94.93
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Physician Services Inc | Current | Accepting new patients | |
| Riverside Physician Services Inc | Current | Accepting new patients | |
| Riverside Physician Services Inc | Current | Accepting new patients |
Locations
1500 Commonwealth Ave
Williamsburg, VA 23185
Phone (757) 585-2200
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 and National Provider Directory roles.
-
dba Riverside Gastroenterology Specialists
- Gastroenterology Physician
- Newport News, VA
- NPI 1194929026
-
dba Riverside Gastroenterology Specialists Williamsburg
- Gastroenterology Physician
- Williamsburg, VA
- NPI 1083867311
-
dba Riverside Emergency Physicians
- Emergency Medicine Physician
- Williamsburg, VA
- NPI 1639418429
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Riverside Regional Medical Center
- General Acute Care Hospital
- Newport News, VA
- NPI 1366547747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187913600000",
"number": "1548453319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 SABLE CYN",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782584857",
"telephone_number": "210-467-5080",
"fax_number": "210-467-5080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 BERGQUIST DR",
"address_2": "SUITE 1, ATTN CREDENTIALS",
"city": "LACKLAND AFB",
"state": "TX",
"postal_code": "782369907",
"telephone_number": "210-467-5080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THURMAN",
"first_name": "CAMERON",
"middle_name": "MITCHELL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-24",
"last_updated": "2007-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lackland AFB, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2007; 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.