Individual provider Active NPI

Cameron Wampler, P.A.

  • Physician Assistant
  • Irving, TX
National Provider Identifier
1942373030
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA04917 Issued in TX
Practice address
400 W LBJ Fwy
Suite 330
Irving, TX 75063-3707
Phone
(972) 556-2885
Fax
(972) 506-8733
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA04917 TX Primary

Addresses

Primary practice location

400 W LBJ Fwy
Suite 330
Irving, TX 75063-3707

Mailing address

400 W LBJ Fwy
Suite 330
Irving, TX 75063-3707
Phone (972) 556-2885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070228000231 TX Practitioner - Physician Assistant 1759483316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
99.43 of 100Reported as group
Quality
93.73
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA04917TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Em-I Medical Services, P.a. Past Accepting new patients
Texas Em-1 Medical Services, PA Past Accepting new patients
Pathways Physicians Texas, PLLC PastSince Apr 14, 2024 Accepting new patients
Dallas Anesthesiology Associates, PA Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190678400000",
    "number": "1942373030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W LBJ FWY",
            "address_2": "SUITE 330",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633707",
            "telephone_number": "972-556-2885",
            "fax_number": "972-506-8733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W LBJ FWY",
            "address_2": "SUITE 330",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633707",
            "telephone_number": "972-556-2885",
            "fax_number": "972-506-8733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAMPLER",
        "first_name": "CAMERON",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA04917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.