Looks by Malissa

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

1880 Issued in OK

Legal business name

LOOKS BY MALISSA

Doing business as

BA Med Spa & Weight Loss Center

Practice address

500 S Elm PL
Broken Arrow, OK 74012-5375

Phone

(918) 872-9999

Fax

(918) 893-6342

NPI assigned

Jun 21, 2012

Organization subpart

No

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

Authorized official

Name

Dr. James Roy Campbell, D.O

Title

Medical Director/President

Phone

(918) 872-9999

Specialties & licenses 1

Addresses

Other names 1

• BA Med Spa & Weight Loss Center Doing business as

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340236800000",
    "number": "1073876280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S ELM PL",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740125375",
            "telephone_number": "918-872-9999",
            "fax_number": "918-893-6342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S ELM PL",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740125375",
            "telephone_number": "918-872-9999",
            "fax_number": "918-893-6342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOOKS BY MALISSA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-21",
        "last_updated": "2012-06-21",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ROY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/PRESIDENT",
        "authorized_official_telephone_number": "918-872-9999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "OK",
            "license": "1880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BA Med Spa & Weight Loss Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Herbert Lomax Jr, LCSW
• Sydney Renee Lomax
• Danielle Ann Long
• Kyle Long, PHARM.D.
• Longnecker Counseling and Consulting
• Cecilia M Lopez
• Billy Seng Lor I
• Carla Cathleen Lott, OT
• Jennifer Lott
• Emily Savannah Loveland, MOT, OTR/L

• General Practice Physician in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• General Practice Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; 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.