Individual provider Active NPI

Ma. Soledad Camacho Munoz, C-PA

  • Physician Assistant
  • Burton, MI
National Provider Identifier
1700538147
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1481 S Center Rd Ste B
Burton, MI 48509-1779
Phone
(810) 820-6708
NPI assigned
Jan 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1481 S Center Rd Ste B
Burton, MI 48509-1779

Mailing address

1481 S Center Rd Ste B
Burton, MI 48509-1779

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20220202000385 MI Practitioner - Physician Assistant 4486047123 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
McLaren FlintGroup PAC ID 8628975497, 144 clinicians

Practice addresses (Care Compare)

1314 S Linden Rd Abc
McLaren Flint Community Medical Center
Flint, MI 48532-3456
Phone (810) 342-1700

401 S Ballenger Hwy
Flint, MI 48532-3638

Hospital & facility affiliations

  • McLaren Home Health Home health agency, Davison, MI, CCN 237010
  • McLaren Flint Hospital, Flint, MI, CCN 230141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Flint Physician Assistant CurrentSince Sep 25, 2023 Accepting new patients
McLaren Flint CurrentSince Sep 25, 2023 Accepting new patients
McLaren Flint Physician Assistant Current Accepting new patients
McLaren Medical Group Past Accepting new patients
McLaren Flint Past Accepting new patients

Locations

1314 S Linden Rd
Flint, MI 48532
Phone (810) 342-1700

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

1314 S Linden Rd
Ste A
Flint, MI 48532
Phone (810) 342-1700

1314 S Linden Rd
Ste C
Flint, MI 48532
Phone (810) 342-1700

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1700538147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1481 S CENTER RD STE B",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485091779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1481 S CENTER RD STE B",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485091779",
            "telephone_number": "810-820-6708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMACHO MUNOZ",
        "first_name": "MA. SOLEDAD",
        "credential": "C-PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-26",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burton, MI

Sources for this page

Verify at the official NPI Registry.