Individual provider Active NPI

Richard John Campeau Jr., MD

  • Nuclear Medicine Physician
  • New Orleans, LA
National Provider Identifier
1023176989
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine PhysicianTaxonomy code 207U00000X
License
LA011223 Issued in LA
Practice address
5316 Dryades St
New Orleans, LA 70115-4947
Phone
(504) 897-4159
Fax
(504) 891-6727
NPI assigned
Dec 4, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X LA011223 LA Primary

Addresses

Primary practice location

5316 Dryades St
New Orleans, LA 70115-4947

Mailing address

5316 Dryades St
New Orleans, LA 70115-4947
Phone (504) 897-4159

Other identifiers 2

IdentifierTypeStateIssuer
01168432OtherLALA CAID
0115832MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
LA011223LAMDNuclear Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023176989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5316 DRYADES ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701154947",
            "telephone_number": "504-897-4159",
            "fax_number": "504-891-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5316 DRYADES ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701154947",
            "telephone_number": "504-897-4159",
            "fax_number": "504-891-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPEAU",
        "first_name": "RICHARD",
        "middle_name": "JOHN",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "LA",
            "license": "LA011223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA CAID",
            "identifier": "01168432",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0115832",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.