Individual provider Active NPI

Nathan Joseph McCammon, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Ann Arbor, MI
National Provider Identifier
1841815271
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
4301510873 Issued in MI
Practice address
1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Phone
(734) 936-4000
NPI assigned
Jun 11, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 4351046332 MI
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 4301510873 MI Primary

Addresses

Primary practice location

1500 E Medical Center Dr
Ann Arbor, MI 48109-5000

Mailing address

3621 S State St
Ann Arbor, MI 48108-1633
Phone (734) 647-5299

Other practice location 1

2800 Plymouth Rd # 35-1411
Ann Arbor, MI 48109-2800
Phone (734) 764-3270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240718001445 MI Practitioner - Pathology 6709203201 Reassigns benefits to 1 organization
I20250701002436 TX Practitioner - Pathology 6709203201 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Texas Southwestern Medical School at Dallas, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael a Deck MD PAGroup PAC ID 7113911587, 11 clinicians

Practice addresses (Care Compare)

6124 W Parker Rd
Plano, TX 75093-8124
Phone (972) 981-3107

Hospital & facility affiliations

  • Texas Health Presbyterian Hospital Plano Hospital, Plano, TX, CCN 450771
  • Baylor Scott & White Medical Center - Frisco Hospital, Frisco, TX, CCN 450853
  • Texas Health Presbyterian Hospital Allen Hospital, Allen, TX, CCN 450840
  • Texas Health Presbyterian Hospital Flower Mound Hospital, Flower Mound, TX, CCN 670068
  • Texas Health Hospital Frisco Hospital, Frisco, TX, CCN 670260

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301510873MIMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael a Deck MD PA CurrentSince Jul 14, 2025 Accepting new patients
Michael a Deck MD PA Anatomic Pathology & Clinical Pathology CurrentSince Jul 14, 2025 Accepting new patients
Regents of the University of Michigan CurrentSince Jul 1, 2024 Accepting new patients
Regents of the University of Michigan Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2024 Accepting new patients

Locations

2800 Plymouth Rd
#351411
Ann Arbor, MI 48109
Phone (734) 764-3270

3621 S State St
Ann Arbor, MI 48108
Phone (734) 647-5229

2800 Plymouth Rd
Ann Arbor, MI 48109
Phone (734) 647-2921

1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280

1105 Central Expy N
Allen, TX 75013
Phone (972) 747-4313

5601 Warren Pkwy
Frisco, TX 75034
Phone (214) 407-5000

12400 Dallas Pkwy
Frisco, TX 75033
Phone (469) 495-2000

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

6124 W Parker Rd
Ste G36
Plano, TX 75093
Phone (972) 981-3107

6020 W Parker Rd
Plano, TX 75093
Phone (972) 403-2700

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1841815271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 S STATE ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081633",
            "telephone_number": "734-647-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E MEDICAL CENTER DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481095000",
            "telephone_number": "734-936-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2800 Plymouth Rd # 35-1411",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481092800",
            "country_code": "US",
            "telephone_number": "734-764-3270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCAMMON",
        "first_name": "NATHAN",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-11",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "4351046332",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MI",
            "license": "4301510873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.