DR. CAMILO SANTIAGO (NPI# 1124089313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124089313 |
| Entity Type | Individual |
| Full Name | DR. CAMILO SANTIAGO |
| Credential | M.D. |
| Practice Address |
421 W 1st St Bloomington IN 47403 |
| Mailing Address |
421 W 1st St Bloomington IN 47403-2403 |
| Practice Telephone | 8123323531 |
| Practice Fax Number | 8123324673 |
| Mailing Telephone | 8123323531 |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2018-12-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 01081449A | IN | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 47614 | KY | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 0101237102 | VA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 26 Oxford Way, Suite B, Somerset, KY 425032813 | 6064254298 | 6064254299 |
| 421 W 1st St, Bloomington, IN 474032403 | 8123323531 | 8123324673 |
| Street Address |
421 W 1ST ST |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376053652 | Lindsey R Williams | Nurse Practitioner | 421 W 1st St, Bloomington, IN 47403-2403 | 2017-10-02 |
| 1396188819 | Katherine Elizabeth Smiley | Surgery | 421 W 1st St, Bloomington, IN 47403 | 2013-04-15 |
| 1902132558 | Michele Leigh Yarbrough | Nurse Practitioner | 421 W 1st St, Bloomington, IN 47403-2403 | 2009-11-02 |
| 1518122050 | Robert Sung | Surgery | 421 W 1st St, Bloomington, IN 47403-2403 | 2008-07-24 |
| 1437313764 | Alison C Heidt | Surgery | 421 W 1st St, Bloomington, IN 47403-2403 | 2008-07-16 |
| 1639208747 | Jason Winfield Kennard | Surgery | 421 W 1st St, Bloomington, IN 47403-2403 | 2007-03-05 |
| 1144310301 | Charles R. Mckeen IIi | Surgery | 421 W 1st St, Bloomington, IN 47403-2403 | 2006-10-16 |
| 1558391144 | Martha Lee Matthews | Counselor | 421 W 1st St, Bloomington, IN 47403-2403 | 2006-07-03 |
| 1992733240 | Mary Susan Shick | Registered Nurse | 421 W 1st St, Bloomington, IN 47403-2403 | 2006-06-28 |
| 1205863321 | Leland R Matthews | Obstetrics & Gynecology | 421 W 1st St, Bloomington, IN 47403-2403 | 2006-06-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043783673 | Brook Whitaker | Registered Nurse | 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 | 2019-01-07 |
| 1598251175 | Jacob Edward Lundorf | Nurse Practitioner | 2100 S Liberty Dr Ste B, Bloomington, IN 47403 | 2018-07-06 |
| 1568973717 | Gregory Thomas Dougan | Physician Assistant | 418 South Landmark Avenue, Bloomington, IN 47403 | 2017-10-16 |
| 1295276160 | Indiana Center for Recovery, LLC | Substance Abuse Rehabilitation Facility | 1004 W 1st Street, Bloomington, IN 47403 | 2017-03-13 |
| 1144694217 | Kayla Dewolf | Specialist/Technologist | 1471 W Allen St, Bloomington, IN 47403 | 2015-11-30 |
| 1164806444 | Monroe Hosoital | General Acute Care Hospital | 4011 Monroe Medical Park, Bloomington, IN 47403 | 2015-07-16 |
| 1821411588 | Jennifer Turner | Occupational Therapy Assistant | 1023 West Main St, Swiss Villa, Vevay, IN 47403 | 2014-01-30 |
| 1104170232 | Kendall Basore | Social Worker | 445 S. Landmark Ave., Bloomington, IN 47403 | 2012-10-26 |
| 1568715886 | Indiana Hearing LLC | Hearing Aid Equipment | 2019 S Liberty Dr, Bloomington, IN 47403 | 2012-10-24 |
| 1679870232 | Accurate Hearing Services | Clinic/Center | 1355 W Second St, #3, Bloomington, IN 47403 | 2011-02-17 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124459219 | Matilde Francois | Surgery | 1505 Eastland Dr Ste 2300, Bloomington, IL 61701 | 2013-11-27 |
| 1356687313 | John Warren Frisch | Surgery | 21 Country Club Pl, Bloomington, IL 61701-3486 | 2012-12-19 |
| 1407048036 | Charles R. Mckeen, M.d., PC | Surgery | 413 W 1st St, Bloomington, IN 47403-2403 | 2007-08-17 |
| 1023119740 | Terrence M Greene | Surgery | 419 W 1st St, Bloomington, IN 47403-2403 | 2006-09-26 |
| 1447355383 | Surgical Associates of Bloomington, Ill,ltd | Surgery | 1404 Eastland Drive, Suite 104, Bloomington, IL 61701 | 2006-09-14 |
| 1932194511 | Fadi Haddad | Surgery | 822 W 1st St, Suite 8, Bloomington, IN 47403-2384 | 2005-09-20 |
| 1508863945 | James Nicholas Topolgus Jr. | Surgery | 1419 S Sare Rd, Bloomington, IN 47401-4431 | 2005-06-30 |
| 1396188819 | Katherine Elizabeth Smiley | Surgery | 421 W 1st St, Bloomington, IN 47403 | 2013-04-15 |
| 1992004683 | Premier Medical Group, LLC | Surgery | 1505 Eastland Dr, Suite 2300, Bloomington, IL 61701-3534 | 2011-03-21 |
| 1518122050 | Robert Sung | Surgery | 421 W 1st St, Bloomington, IN 47403-2403 | 2008-07-24 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47403 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.