Robert C Kamp II, PA-C
Individual provider Active NPI Physician Assistant · Munising, MI
NPI 1992739429 · NPPES record last updated Jan 24, 2013
Key facts
- NPI
- 1992739429
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 1500 Sand Point Rd.
Munising, MI 49862-1406 - Phone
- (920) 387-4110
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1137 | WI | MD | Podiatrist |
| 1137-023 | WI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Munising Memorial Hospital Association | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1137-023 | WI | |
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
1500 Sand Point Rd.
Munising, MI 49862-1406
Mailing address
1500 Sand Point Rd.
Munising, MI 49862-1406
Phone (906) 387-4110
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42989900 | Medicaid | WI | |
| 23-8650 | Other | MI | RHC CERTIFICATION NUMBER |
| 970013386 | Other | WI | MEDICARE RAILROAD |
| 970013387 | Other | WI | MEDICARE RAILROAD |
Other providers in Munising, MI
- Healthquest of Alger County PLC
- Hiawatha Medical PC
- Colin Irish
- Jmsii Chiropractic PC
- Christian G. Kagey II
- Kareem Said MD
- Bonnie Lou Kilpela
- Joshua David Kocha
- Dylan Koenig
- Derek Lowell Kolbus
All providers in Munising, MI · Physician Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.