Basic Information
| Provider Information | |||||||||
| NPI: | 1669440145 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KAMERER | ||||||||
| FirstName: | DONALD | ||||||||
| MiddleName: | B | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6035 FAIRVIEW RD | ||||||||
| Address2: | |||||||||
| City: | CHARLOTTE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 282103256 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7042953000 | ||||||||
| FaxNumber: | 7042953468 | ||||||||
| Practice Location | |||||||||
| Address1: | 6035 FAIRVIEW RD | ||||||||
| Address2: | |||||||||
| City: | CHARLOTTE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 282103256 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7042953000 | ||||||||
| FaxNumber: | 7042953468 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/09/2006 | ||||||||
| LastUpdateDate: | 04/26/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/26/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Y00000X | 31549 | NC | Y | Allopathic & Osteopathic Physicians | Otolaryngology |
ID Information
| ID | Type | State | Issuer | Description | 1043008 | 01 | NC | UNITED HEALTHCARE | OTHER | 20090265 | 01 | SC | SELECT HEALTH OF SC | OTHER | 000000292726 | 01 | SC | UNISON HEALTH PLAN OF SC | OTHER | 15011 | 01 | NC | PARTNERS | OTHER | 774818 | 01 | WELLCARE | OTHER | 93838 | 01 | NC | MEDCOST | OTHER | 7947782 | 05 | NC | MEDICAID | N31549 | 05 | SC | MEDICAID | 2260190 | 01 | NC | AETNA | OTHER | 73064 | 01 | NC | COVENTRY HEALTHCARE | OTHER | 47782 | 01 | NC | BCBS | OTHER |