SearchOhio2085R0202X

Michael Caccamo, DO

NPI 1053303149 · on the registry since 2005

Practice

Address
540 Lincoln Park Blvd
Ste 130
Kettering, OH 45429
Phone
(937) 297-6306
Fax
(937) 299-6300
Organisation at this address
South Dayton Pediatrics
Premier Integrated Medical Assoc Ltd
Premier Integrated Medical Assoc Ltd
Kettering Radiologist Imaging Center
Premier Integrated Medical Assoc Ltd
Inferred from a shared address, not stated in the registry.
Clinicians at this address
18

Registry record

Primary taxonomy
2085R0202X
2085R0202X
Also registered as
2085R0202X
Licence states on file
OH, MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-12-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio