Camille McCallister, MD

Primary specialty

Gynecologic Oncology PhysicianTaxonomy code 207VX0201X

License

MT218789 Issued in PA

Practice address

3400 Civic Center Blvd
10TH Floor South Tower
Philadelphia, PA 19104-5158

Phone

(215) 220-9513

NPI assigned

Jul 3, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1942862628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 CIVIC CENTER BLVD FL 10",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191045158",
            "telephone_number": "215-220-9513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 CIVIC CENTER BLVD",
            "address_2": "10TH FLOOR SOUTH TOWER",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191045158",
            "telephone_number": "215-220-9513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALLISTER",
        "first_name": "CAMILLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-03",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD481404",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "PA",
            "license": "MT218789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Caleb McCall, M.D.
• Kelsea L McCall, PA-C
• Keshavna M McCall, BEHAVIOR TECHNICIAN
• Roslyn McCall, HHA
• Wyatt McCall
• Kaitlin Nicole McCallum, MD
• Joshua McCambridge, M.D.
• Lorraine McCaney, RPH
• Barbara Ann McCann, OTR
• Benita James McCann

• Gynecologic Oncology Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Gynecologic Oncology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.