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Dr. Cameron Patthanacharoenphon

Foot and Ankle Orthopaedic Surgeon

350 Lafayette Ave Se 4th Floor
Grand Rapids , Michigan 49503-4656

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Image

Dr. Cameron Patthanacharoenphon

Foot and Ankle Orthopaedic Surgeon

350 Lafayette Ave Se 4th Floor
Grand Rapids , Michigan 49503-4656

(616) 456-8208

Write a Review Save Call

Dr. Cameron Patthanacharoenphon

Foot and Ankle Orthopaedic Surgeon

350 Lafayette Ave Se 4th Floor
Grand Rapids , Michigan 49503-4656

(616) 456-8208 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Foot and Ankle Orthopaedic Surgeon

Languages spoken

  • English

Location

350 Lafayette Ave Se 4th Floor Grand Rapids , Michigan 49503-4656

First Address

  • Dr. Cameron Patthanacharoenphon
  • 3565 Momentum Pl
  • Chicago, IL
  • Zip : 60689-5335
  • Fax : (616) 456-8208
  • Phone : (616) 456-8515

Second Address

  • Dr. Cameron Patthanacharoenphon
  • 350 Lafayette Ave Se 4th Floor
  • Grand Rapids, MI
  • Zip : 49503-4656
  • Fax : (616) 456-8208
  • Phone : (616) 456-8515

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FAQs


Where did Dr. Cameron Patthanacharoenphon attend graduate school?

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Where did Dr. Cameron Patthanacharoenphon do his residency?

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Where did Dr. Cameron Patthanacharoenphon do his fellowship?

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Is Dr. Cameron Patthanacharoenphon board certified?

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What type of doctor is Dr. Cameron Patthanacharoenphon

Foot and Ankle Orthopaedic Surgeon

In what state does Dr. Cameron Patthanacharoenphon practice in?

Michigan

Where is Dr. Cameron Patthanacharoenphon ’s practice located?

350 Lafayette Ave Se 4th Floor , Grand Rapids, Michigan, 49503-4656

What is Dr. Cameron Patthanacharoenphon ’s gender?

Male

Is Dr. Cameron Patthanacharoenphon a sole practitioner?

No

Is Dr. Cameron Patthanacharoenphon accepting new patients?

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What languages does Dr. Cameron Patthanacharoenphon speak?

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Does Dr. Cameron Patthanacharoenphon accept insurance?

Yes, Dr. Cameron Patthanacharoenphon accepts insurance

Does Dr. Cameron Patthanacharoenphon offers telemedicine?

Dr. Cameron Patthanacharoenphon has not indicated if he offers telemedicine

What is Dr. Cameron Patthanacharoenphon ’s professional license number?

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What is Dr. Cameron Patthanacharoenphon ’s NPI number?

1073834339

Does Dr. Cameron Patthanacharoenphon have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 207XX0004X Foot and Ankle Orthopaedic Surgeon 4301096531 MI

National Provider Identifier

NPI 1073834339
Provider Name Dr. Cameron Patthanacharoenphon
First Address Chicago, IL 60689-5335
Second Address Grand Rapids, MI 49503-4656
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 21/06/2010
Last Update Date 19/09/2017

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
1073834339 (05) MI

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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