Rockinhgam Medical Clinic

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

34284 Issued in NC

Legal business name

ROCKINHGAM MEDICAL CLINIC

Practice address

3535 Randolph Rd
Suite 210
Charlotte, NC 28211-1086

Phone

(704) 906-1676

Fax

(704) 910-1420

NPI assigned

Dec 18, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Johny E. Camargo, M.D.

Title

Physician/Owner

Phone

(704) 910-2320

Specialties & licenses 1

Addresses

Other identifiers 4

Tax ID family

Rockingham Medical Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Rockingham Medical Clinic, P.C.

  • Internal Medicine Physician
  • Matthews, NC
  • NPI 1124309463
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Johnny E. Camargo, M.D.

  • Internal Medicine Physician
  • Matthews, NC
  • NPI 1134161714
  NPD (past)

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667779200000",
    "number": "1821334996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E MATTHEWS ST STE 400",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055373",
            "telephone_number": "980-339-7442",
            "fax_number": "980-339-5925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 RANDOLPH RD",
            "address_2": "SUITE 210",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111086",
            "telephone_number": "704-906-1676",
            "fax_number": "704-910-1420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKINHGAM MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-18",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A",
        "authorized_official_last_name": "CAMARGO",
        "authorized_official_first_name": "JOHNY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "704-910-2320",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "34284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL MEDICARE",
            "identifier": "2163710",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5918242",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE",
            "identifier": "A305",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PTAN",
            "identifier": "P0100359",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jon Rochester, LCSWA
• Rocinante Holistic Wellness Counseling & Recovery Services (Rocinante Holistic Wellness & Recovery)
• Kathryn Rock, M.D.
• Owen Rockett, DDS
• Rockhaven
• Rockwood Forest
• Carolyn Rodd
• John Gardiner R Roddey Jr., M.D.
• Mia Roddey
• Patricia Koury Roddey, MD

• Internal Medicine Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.