Active NPI
Doris Randolph Cameron, M.D.
- Internal Medicine Physician
- Lake Mary, FL
National Provider Identifier
1619081965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME 69969
- Practice address
- 4106 W Lake Mary Blvd
Suite 100
Lake Mary, FL 32746-3315 - Phone
- (407) 333-2273
- Fax
- (407) 333-3939
- NPI assigned
- Aug 17, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME 69969 | FL | Primary |
Addresses
Primary practice location
4106 W Lake Mary Blvd
Suite 100
Lake Mary, FL 32746-3315
Mailing address
4106 W Lake Mary Blvd
Suite 100
Lake Mary, FL 32746-3315
Phone (407) 333-2273
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4308871 | Other | FL | CIGNA |
| AM199 | Other | FL | MEDICARE PROVIDER TRANSACTIONS ACCESS NUMBER |
| 28417 | Other | FL | BLUE CROSS BLUE SHIELD |
| 0004230561 | Other | FL | AENTA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 69969 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heathrow Internal Medicine LLC | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Lake Mary, FL
- NPI 1033387865
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221609600000",
"number": "1619081965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4106 W LAKE MARY BLVD",
"address_2": "SUITE 100",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327463315",
"telephone_number": "407-333-2273",
"fax_number": "407-333-3939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4106 W LAKE MARY BLVD",
"address_2": "SUITE 100",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327463315",
"telephone_number": "407-333-2273",
"fax_number": "407-333-3939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMERON",
"first_name": "DORIS",
"middle_name": "RANDOLPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-17",
"last_updated": "2008-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME 69969",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "4308871",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER TRANSACTIONS ACCESS NUMBER",
"identifier": "AM199",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "28417",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AENTA",
"identifier": "0004230561",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.