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RANDALL J CAMMENGA MD
NPI 1154321107
Emergency Medicine - Emergency Medical Services in Elkhart, IN

Active since July 29, 2005
600 EAST BLVD, ELKHART, IN 46514(574) 523-3161(574) 523-3221 Get Directions Write a Review

NPPES record last updated: March 20, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Randall J Cammenga Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RANDALL J CAMMENGA MD (NPI 1154321107) is an individual emergency medical services provider in Elkhart, Indiana, licensed in Indiana (01041177) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1154321107
Entity TypeIndividualMale
Primary Taxonomy207PE0004X
Provider Legal NameRANDALL J CAMMENGACredential: MD
Location Address600 EAST BLVDElkhart, IN 46514-2483
Mailing Address3371 Cleveland Road Ext, Suite 210South Bend, IN 46628-9780 · (574) 271-2558 · Fax (574) 273-1137
Phone(574) 523-3161
Fax(574) 523-3221
Sole ProprietorNo
Enumeration DateJuly 29, 2005
Last NPPES UpdateMarch 20, 2008
✔ NPI 1154321107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
License✔ Licensed in IN · 01041177
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
600 EAST BLVD, Elkhart, IN 46514
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Other Identifiers 3

Other000000082225IN · Aanthem
Medicare PIN223220CCIN
Medicare UPINF40631

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICOLE S BRUNETTE MD
Emergency Medicine
600 EAST BLVD, EMERGENCY DEPARTMENT
ELKHART, IN 46514
Elkhart County (574) 523-3161
MEREDITH ALCINDA MAYFIELD PA-C
Physician Assistant
600 EAST BLVD
ELKHART, IN 46514
Elkhart County (574) 294-2621
MR. ADAM ABDUL ALIM WILSON CRNA
Nurse Anesthetist, Certified Registered
600 EAST BLVD
ELKHART, IN 46514
Elkhart County (574) 524-8130
MARK MCPHERSON RN
Nurse Anesthetist, Certified Registered
600 EAST BLVD
ELKHART, IN 46514
Elkhart County (574) 523-3193
ELKHART GENERAL HOSPITAL INC
Clinic/Center (Medical Specialty)
600 EAST BLVD
ELKHART, IN 46514
Elkhart County (574) 523-2750
DARRA LYNN COVER PHARM.D., R.PH.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
600 EAST BLVD
ELKHART, IN 46514
Elkhart County (574) 523-3437
JCB ANESTHESIA & PAIN MANAGEMENT, PC
Pain Medicine (Pain Medicine)
600 EAST BLVD
ELKHART, IN 46514
Elkhart County (574) 523-3103
DR. LAURIE LOEDEMAN PHARMD.
Pharmacist
600 EAST BLVD
ELKHART, IN 46514
Elkhart County (574) 523-3261

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randall Cammenga's NPI number?

The NPI number for Randall Cammenga is 1154321107. It was assigned to this individual provider in the NPPES registry on July 29, 2005.

Where is Randall Cammenga located?

Randall Cammenga practices at 600 East Blvd, Elkhart, IN 46514. The listed phone number is (574) 523-3161.

What is Randall Cammenga's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

When was this NPI record last updated?

The NPPES record for Randall Cammenga was last updated on March 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.