RANDALL J. CAMMENGA MD – NPI #1154321107
Emergency Medicine

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

RANDALL CAMMENGA is a physician located in ELKHART, IN. NPPES has assigned the NPI number 1154321107 to RANDALL CAMMENGA on July 29, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207PE0004X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine, specializing in Emergency Medical Services

The NPI profile was previously updated about 18 years ago on Mar 20, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RANDALL CAMMENGA below.

NPI Profile for
RANDALL J. CAMMENGA

NPI Number
1154321107
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
RANDALL J. CAMMENGA
Credentials
MD
Primary location
600 EAST BLVD
ELKHART, IN 46514-2483
Phone: (574) 523-3161 Fax: (574) 523-3221
Mailing address
3371 CLEVELAND ROAD EXT
SUITE 210
SOUTH BEND, IN 46628-9780
Phone: (574) 271-2558 Fax: (574) 273-1137
Sole Proprietor
No
Updated
Identifiers

Identifiers for RANDALL CAMMENGA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERAANTHEMIN000000082225
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207PE0004X
- Emergency Medicine / Emergency Medical Services (Primary)
IN 01041177

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.