Camille Ravadilla Jardeleza, MD PHD FRACS

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

170 Manning Dr Dept of
Chapel Hill, NC 27514-4221

Phone

(919) 966-3343

Fax

(919) 966-7941

NPI assigned

Sep 18, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1942850383",
    "addresses": [
        {
            "country_code": "AU",
            "country_name": "Australia",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "PO BOX 749",
            "city": "GLENELG",
            "state": "SOUTH AUSTRALIA",
            "postal_code": "05045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 MANNING DR DEPT OF",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275144221",
            "telephone_number": "919-966-3343",
            "fax_number": "919-966-7941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARDELEZA",
        "first_name": "CAMILLE",
        "middle_name": "RAVADILLA",
        "name_prefix": "Dr.",
        "credential": "MD PHD FRACS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-18",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaeho Jang
• Pooja D Jani, M.D.
• Mary L Jannelli, MD
• Jessica Alexis Janos, PHD
• Kimberly Elaine Janssen, MD
• Lucas John Jarecke, DDS
• Stephanie Jarrell, LCSW-A
• Lars F Jarskog, MD
• Andrea Jarvis, ATC, LAT
• Ryan Philip Jasper

• Student in an Organized Health Care Education/Training Program in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Student in an Organized Health Care Education/Training Program in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; 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.