Cameron Raymond Niswander, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MD61486397 Issued in WA

Practice address

US Hwy 491 N
Shiprock, NM 87420-9998

Phone

(505) 368-6001

Fax

(505) 368-6025

NPI assigned

Apr 3, 2020

Last updated

Oct 31, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

University of Colorado School of Medicine, Denver, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DHHS PHS Naihs Shiprock HospitalGroup PAC ID 0749193837, 148 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northern Navajo Medical Center Hospital, Shiprock, NM, CCN 320059

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• DHHS, PHS, Naihs, Shiprock Hospital

  dba Northern Navajo Medical Center

  • General Acute Care Hospital
  • Shiprock, NM
  • NPI 1780639971

  TX

  Medicare reassignment Care Compare group NPD
• DHHS, PHS, Naihs, Shiprock Hospital

  • General Acute Care Hospital
  • Teec Nos Pos, AZ
  • NPI 1477615789
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• DHHS, PHS, Naihs, Shiprock Hospital

  • General Acute Care Hospital
  • Sanostee, NM
  • NPI 1083839476
  Care Compare affiliation
• DHHS, PHS, Naihs, Shiprock Hospital

  dba Dzilth-Na-O-Dith-Hle Health Center

  • General Acute Care Hospital
  • Bloomfield, NM
  • NPI 1760427587
  Care Compare affiliation
• DHHS, PHS, Naihs, Shiprock Hospital

  dba Northern Navajo Medical Center

  • General Acute Care Hospital
  • Shiprock, NM
  • NPI 1780639971
  Care Compare affiliation
• DHHS, PHS, Naihs, Shiprock Hospital

  • General Acute Care Hospital
  • Toadlena, NM
  • NPI 1952526337
  Care Compare affiliation
• DHHS, PHS, Naihs, Shiprock Hospital

  • General Acute Care Hospital
  • Teec Nos Pos, AZ
  • NPI 1477615789
  Care Compare affiliation

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1609405471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "city": "SHIPROCK",
            "state": "NM",
            "postal_code": "874200160",
            "telephone_number": "505-368-6001",
            "fax_number": "505-368-6025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "US HWY 491 N",
            "city": "SHIPROCK",
            "state": "NM",
            "postal_code": "874209998",
            "telephone_number": "505-368-6001",
            "fax_number": "505-368-6025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISWANDER",
        "first_name": "CAMERON",
        "middle_name": "RAYMOND",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-03",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD61486397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robyn Alyce Nelson, O.T.R. L
• Kristin D. Neztsosie, RN
• Bich Hong Nguyen, RPH
• Nguyet T Nguyen, PHARMACIST
• Richard D. Nichols, LPN
• Nizhoni Smiles, Inc.
• Joseph Ijeomah Nnani, PHARMD
• Marcella R. Nordhus, ED.S CCC-SLP
• Norman Novelly, DO
• Cheryl Lea Oelze

• Emergency Medicine Physician in Shiprock, NM
• Providers in Shiprock, NM by specialty
• Emergency Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.

Verify at the official NPI Registry.