NPIMap

Organization Active NPI

Julie K McCammon MD Inc

  • Obstetrics & Gynecology Physician
  • Bridgeport, WV
National Provider Identifier
1851338990
Registry record updated Jul 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
JULIE K MCCAMMON MD INC
Practice address
527 Medical Park Dr
Suite 104
Bridgeport, WV 26330-9007
Phone
(304) 933-3868
Fax
(304) 933-3870
NPI assigned
May 31, 2006
Last updated
Jul 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2014

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

Authorized official

Name
Dr. Julie Kathryn McCammon, MDNPI 1144468737
Title
Owner
Phone
(304) 933-3868

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X Primary

Addresses

Primary practice location

527 Medical Park Dr
Suite 104
Bridgeport, WV 26330-9007

Mailing address

527 Medical Park Dr
Suite 104
Bridgeport, WV 26330-9007
Phone (304) 933-3868

Other identifiers 2

IdentifierTypeStateIssuer
WV15559OtherWVSTATE LICENSE
0091494000MedicaidWV

National Provider Directory

National Provider Directory

Locations

527 Medical Park Dr
Ste 104
Bridgeport, WV 26330
Phone (304) 933-3868

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406073600000",
    "number": "1851338990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 MEDICAL PARK DR",
            "address_2": "SUITE 104",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263309007",
            "telephone_number": "304-933-3868",
            "fax_number": "304-933-3870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 MEDICAL PARK DR",
            "address_2": "SUITE 104",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263309007",
            "telephone_number": "304-933-3868",
            "fax_number": "304-933-3870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE K MCCAMMON MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2014-07-23",
        "status": "A",
        "authorized_official_last_name": "MCCAMMON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "KATHRYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-933-3868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "WV15559",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0091494000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; 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.