Active NPI
Ma. Soledad Camacho Munoz, C-PA
- Physician Assistant
- Burton, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
- McLaren Flint
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLaren Flint | Physician Assistant | Current | Accepting new patients |
| McLaren Flint | Current | 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.
-
- Social Worker
- Flint, MI
- NPI 1356480685
-
- Physician Assistant
- Flint, MI
- NPI 1700919628
-
- Internal Medicine Physician
- Flint, MI
- NPI 1154469229
-
- Diagnostic Radiology Physician
- Lapeer, MI
- NPI 1073650750
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Davison, MI
- NPI 1023059144
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.