Physician Compare National (NPI:1396761359)

HEALTHCARE PROVIDER: J JEFFERY CAMERON MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1396761359
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6002825288
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080411000124
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CAMERON
	Individual professional last name
Provider First Name	JEFFREY
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
	Individual professional's medical school
Graduation Year	1984
	Individual professional's medical school graduation year
Primary Specialty	OBSTETRICS/GYNECOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	13170 RAVENNA RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 108
	Group Practice or individual's line 2 address
City	CHARDON
	Group Practice or individual's city
State	OH
	Group Practice or individual's state
Zip Code	440247022
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4402149277
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	360192
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	UH GEAUGA MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y