Provider Demographics
NPI:1346237765
Name:CAMINOS, OLIVER W (MD)
Entity Type:Individual
Prefix:DR
First Name:OLIVER
Middle Name:W
Last Name:CAMINOS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 FIELD CLUB RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15238-2219
Mailing Address - Country:US
Mailing Address - Phone:412-372-2035
Mailing Address - Fax:412-373-6861
Practice Address - Street 1:200 JAMES PL
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-3445
Practice Address - Country:US
Practice Address - Phone:412-372-2035
Practice Address - Fax:412-373-6861
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-30
Last Update Date:2014-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD035918L174400000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA205751OtherUPMC
PA229152OtherHEALTH AMERICA/ADVANTRA
PA000000065031OtherUNISON
PA0007237000001Medicaid
PA1008637OtherGATEWAY HEALTH PLAN
PA9618472OtherCIGNA
PA079225OtherBLUE CROSS BLUE SHIELD
PA251408887OtherTRICARE
OH804601OtherMEDICARE OF OH
PA1008637OtherGATEWAY HEALTH PLAN
PA229152OtherHEALTH AMERICA/ADVANTRA
PA060026360Medicare PIN