Active NPI
Daniel Camden, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- Roanoke, VA
National Provider Identifier
1790761203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 0101033197
- Practice address
- 612 S Jefferson St Ste 300
Roanoke, VA 24011-2437 - Phone
- (540) 857-7748
- Fax
- (540) 857-6374
- NPI assigned
- Dec 16, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 0101033197 | VA | Primary |
Addresses
Primary practice location
612 S Jefferson St Ste 300
Roanoke, VA 24011-2437
Mailing address
612 S Jefferson St Ste 300
Roanoke, VA 24011-2437
Phone (540) 857-7748
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00276852 | Other | VA | MEDICARE RAILROAD |
| 006095208 | Medicaid | VA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706832000000",
"number": "1790761203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 S JEFFERSON ST STE 300",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240112437",
"telephone_number": "540-857-7748",
"fax_number": "540-857-6374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 S JEFFERSON ST STE 300",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240112437",
"telephone_number": "540-857-7748",
"fax_number": "540-857-6374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMDEN",
"first_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-16",
"last_updated": "2024-02-02",
"certification_date": "2024-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "VA",
"license": "0101033197",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00276852",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006095208",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.