Individual provider Active NPI

William L Camp Jr., MD

  • Dermatology Physician
  • Beachwood, OH
National Provider Identifier
1780625335
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
35.099860 Issued in OH
Practice address
2000 Auburn Dr Ste 120
Beachwood, OH 44122-4328
Phone
(216) 342-3333
Fax
(216) 342-3233
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD 25639 AL
Dermatology Physician 207N00000X 35.099860 OH Primary

Addresses

Primary practice location

2000 Auburn Dr Ste 120
Beachwood, OH 44122-4328

Mailing address

2500 Metrohealth Dr
Dept of Dermatology H576
Cleveland, OH 44109-1900
Phone (216) 778-3376

Other practice location 1

2500 Metrohealth Dr
Dept of Dermatology H576
Cleveland, OH 44109-1900
Phone (216) 778-3376

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20120828000644 OH Practitioner - DermatologyPractitioner - Internal Medicine 0244261949 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Internal Medicine
Education
University of Alabama School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lucent Dermatology and Skin Surgery Center CorpGroup PAC ID 1153664297, 2 clinicians

Practice addresses (Care Compare)

2000 Auburn Dr
Suite 120
Beachwood, OH 44122-4328
Phone (216) 342-3333

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions880
Removal or shaving of skin growth12
Skin biopsy128

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD 25639ALMDDermatology Physician
35.099860OHMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System Dermatology CurrentSince Aug 10, 2012 Accepting new patients
Lucent Dermatology and Skin Surgery Center Corp Dermatology CurrentSince Feb 12, 2018 Accepting new patients
The Metrohealth System Current Accepting new patients
The Metrohealth System CurrentSince Aug 10, 2012 Accepting new patients

Locations

2000 Auburn Dr
Ste 120
Beachwood, OH 44122
Phone (216) 342-3333

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

2500 Metrohealth Dr
#H576
Cleveland, OH 44109
Phone (216) 778-3137

4229 Pearl Rd
Cleveland, OH 44109
Phone (216) 459-6300

605 N Cleveland Massillon Rd
Ste B
Fairlawn, OH 44333
Phone (330) 666-3333

Interoperability endpoints

  • Direct secure messaging: wcamp51314@direct.metrohealth.org
  • Direct secure messaging: wcamp218490@ehrdirect.uhhospitals.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1780625335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 METROHEALTH DR",
            "address_2": "DEPT OF DERMATOLOGY H576",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441091900",
            "telephone_number": "216-778-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 AUBURN DR STE 120",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224328",
            "telephone_number": "216-342-3333",
            "fax_number": "216-342-3233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 Metrohealth Dr",
            "address_2": "Dept of Dermatology H576",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441091900",
            "country_code": "US",
            "telephone_number": "216-778-3376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMP",
        "first_name": "WILLIAM",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AL",
            "license": "MD 25639",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35.099860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.