NPIMap

Organization Active NPI

Ainsworth Family Clinic, P.C.

  • Internal Medicine Physician
  • Ainsworth, NE
National Provider Identifier
1083632533
Registry record updated Dec 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
AINSWORTH FAMILY CLINIC, P.C.
Practice address
913 E. Zero St.
Ainsworth, NE 69210-0287
Phone
(402) 387-1900
Fax
(402) 387-0139
NPI assigned
Jul 17, 2006
Last updated
Dec 10, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2007

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

Authorized official

Name
Melvin Allen Campbel, M.D., FACP
Title
President
Phone
(402) 387-1900

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X
Family Medicine Physician 207Q00000X
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

913 E. Zero St.
Ainsworth, NE 69210-0287

Mailing address

PO Box 287
Ainsworth, NE 69210-0287
Phone (402) 387-1900

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197244800000",
    "number": "1083632533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 287",
            "city": "AINSWORTH",
            "state": "NE",
            "postal_code": "692100287",
            "telephone_number": "402-387-1900",
            "fax_number": "402-387-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 E. ZERO ST.",
            "city": "AINSWORTH",
            "state": "NE",
            "postal_code": "692100287",
            "telephone_number": "402-387-1900",
            "fax_number": "402-387-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AINSWORTH FAMILY CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-12-10",
        "status": "A",
        "authorized_official_last_name": "CAMPBEL",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-387-1900",
        "authorized_official_credential": "M.D., FACP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ainsworth, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.