Active NPI
William T Campbell, LAT, ATC, CEIS
- Athletic Trainer
- Evendale, OH
National Provider Identifier
1033510045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT. 004086
- Practice address
- 1 Neumann Way 140
Evendale, OH 45215 - Phone
- (513) 446-6082
- NPI assigned
- Sep 9, 2014
- Last updated
- Jan 4, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT. 004086 | OH | Primary |
Addresses
Primary practice location
1 Neumann Way 140
Evendale, OH 45215
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT. 004086 | OH | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641254400000",
"number": "1033510045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 NEUMANN WAY 140",
"city": "EVENDALE",
"state": "OH",
"postal_code": "45215",
"telephone_number": "513-446-6082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "WILLIAM",
"middle_name": "T",
"name_prefix": "Mr.",
"credential": "LAT, ATC, CEIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-09",
"last_updated": "2022-01-04",
"certification_date": "2022-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OH",
"license": "AT. 004086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evendale, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.