Organization Active NPI

Odette Louise Campbell, MD, PA

  • Internal Medicine Physician
  • Plano, TX
National Provider Identifier
1083925960
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
H9609 Issued in TX
Legal business name
ODETTE LOUISE CAMPBELL, MD, PA
Practice address
5072 W Plano Pkwy Ste 220
Plano, TX 75093-4475
Phone
(469) 671-0900
Fax
(972) 695-8827
NPI assigned
Jun 25, 2010
Last updated
Jan 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Authorized official

Name
Odette Louise Campbell, MDNPI 1114989092
Title
Owner
Phone
(469) 671-0900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X H9609 TX Primary
Radiation Oncology Physician 2085R0001X H9609 TX

Addresses

Primary practice location

5072 W Plano Pkwy Ste 220
Plano, TX 75093-4475

Mailing address

5072 W Plano Pkwy Ste 220
Plano, TX 75093-4475
Phone (469) 671-0900

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1277424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1083925960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5072 W PLANO PKWY STE 220",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934475",
            "telephone_number": "469-671-0900",
            "fax_number": "972-695-8827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5072 W PLANO PKWY STE 220",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934475",
            "telephone_number": "469-671-0900",
            "fax_number": "972-695-8827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODETTE LOUISE CAMPBELL, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-25",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "ODETTE",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-671-0900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "H9609",
            "primary": true
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "TX",
            "license": "H9609",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.