Provider Demographics
NPI:1609872027
Name:DELCAMP, DON D (MD)
Entity Type:Individual
Prefix:
First Name:DON
Middle Name:D
Last Name:DELCAMP
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 1:31 S STANFIELD RD
Mailing Address - Street 2:STE 202
Mailing Address - City:TROY
Mailing Address - State:OH
Mailing Address - Zip Code:45373-2374
Mailing Address - Country:US
Mailing Address - Phone:937-335-3561
Mailing Address - Fax:937-339-1213
Practice Address - Street 1:31 S STANFIELD RD
Practice Address - Street 2:STE 202
Practice Address - City:TROY
Practice Address - State:OH
Practice Address - Zip Code:45373-2374
Practice Address - Country:US
Practice Address - Phone:937-335-3561
Practice Address - Fax:937-339-1213
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35049812D174400000X
OH35049812207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0536174Medicaid
OH35049812OtherSTATE LICENSE
OH35049812OtherSTATE LICENSE
OH0536174Medicaid
OHAD2460652OtherDEA