Individual provider Active NPI

Jeffrey S Cameron, MD

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Sarasota, FL
National Provider Identifier
1912940347
Registry record updated Sep 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X
License
ME 111721 Issued in FL
Practice address
6400 Edgelake Dr
Sarasota, FL 34240-8813
Phone
(414) 416-1976
Fax
(941) 921-8681
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 34606-020 WI
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X ME 111721 FL Primary

Addresses

Primary practice location

6400 Edgelake Dr
Sarasota, FL 34240-8813

Mailing address

1910 Robinhood St
PMB 306
Sarasota, FL 34231-3620
Phone (414) 416-1976

Other identifiers 1

IdentifierTypeStateIssuer
30473300MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20120809000431 FL Practitioner - Physical Medicine and Rehabilitation 4082693908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Northwestern University Feinberg Medical School, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6400 Edgelake Dr
Sarasota, FL 34240-8813
Phone (941) 342-3000

Hospital & facility affiliations

  • HCA Florida Sarasota Doctors Hospital Hospital, Sarasota, FL, CCN 100166
  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34606-020WIMDPhysical Medicine & Rehabilitation Physician
ME 111721FLMDUndersea and Hyperbaric Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey S Cameron LLC Physical Medicine & Rehabilitation CurrentSince Aug 26, 2012 Accepting new patients
Advanced Wound Systems LLC Past Accepting new patients
Sacred Heart Rehabilitation Institute, Inc. PastSince Jun 21, 2022 Accepting new patients
Sacred Heart Rehabilitation Institute, Inc Physical Medicine & Rehabilitation Past Accepting new patients

Locations

5824 Bee Ridge Rd
Sarasota, FL 34233
Phone (941) 377-7622

6400 Edgelake Dr
Sarasota, FL 34240
Phone (941) 921-8600

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 2

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475107200000",
    "number": "1912940347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 ROBINHOOD ST",
            "address_2": "PMB 306",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342313620",
            "telephone_number": "414-416-1976",
            "fax_number": "941-921-8681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 EDGELAKE DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342408813",
            "telephone_number": "414-416-1976",
            "fax_number": "941-921-8681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMERON",
        "first_name": "JEFFREY",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2016-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WI",
            "license": "34606-020",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "FL",
            "license": "ME 111721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30473300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.