David Paul Campbell, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1711 Issued in OK

Practice address

8523 E 11TH St
Suite C
Tulsa, OK 74112-7963

Phone

(918) 836-7147

Fax

(918) 838-2434

NPI assigned

Apr 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266364800000",
    "number": "1073570792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8523 E 11TH ST",
            "address_2": "SUITE C",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741127963",
            "telephone_number": "918-836-7147",
            "fax_number": "918-838-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8523 E 11TH ST",
            "address_2": "SUITE C",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741127963",
            "telephone_number": "918-836-7147",
            "fax_number": "918-838-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "DAVID",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2010-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "1711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100135030A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andre Gregrolle John Campbell, M.A.,LMFT.LADC.
• Ann Elaine Campbell, M.D.
• Bre Campbell
• Candace L. Campbell, APRN-CNP
• Christopher Andrew Campbell, CSFA
• Dawn Catherine Campbell, CRNA
• Erica Nicol Campbell, MSW
• Jeremy Ryan Campbell
• Jessi Campbell
• Jessica Renee Campbell

• Family Medicine Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.