Ec Physician Assistant PC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

EC PHYSICIAN ASSISTANT PC

Doing business as

Erin Campbell, PA

Practice address

9192 Los Puentes Rd
Newcastle, CA 95658-9706

Phone

(520) 360-6080

Fax

(208) 506-7953

NPI assigned

Oct 22, 2018

Organization subpart

Yes

Parent organization

EC PHYSICIAN ASSISTANT PCAs reported in NPPES

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

Authorized official

Name

Erin Lindsey Campbell, PANPI 1548596810

Title

Owner

Phone

(520) 360-6080

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Erin Campbell, PA Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Part of

Ec Physician Assistant PC

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Erin Lindsey Campbell, PA-C LLC

  • Surgical Physician Assistant
  • Newcastle, CA
  • NPI 1548596810
  Medicare reassignment Authorized official
• Benjamin Campbell, D.O.

  • Emergency Medicine Physician
  • Roseville, CA
  • NPI 1851687727
  NPD (past)

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599523200000",
    "number": "1114493715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 506",
            "city": "NEWCASTLE",
            "state": "CA",
            "postal_code": "956580506",
            "telephone_number": "520-360-6080",
            "fax_number": "208-506-7953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9192 LOS PUENTES RD",
            "city": "NEWCASTLE",
            "state": "CA",
            "postal_code": "956589706",
            "telephone_number": "520-360-6080",
            "fax_number": "208-506-7953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EC PHYSICIAN ASSISTANT PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EC PHYSICIAN ASSISTANT PC",
        "enumeration_date": "2018-10-22",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "LINDSEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-360-6080",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LICENSE",
            "identifier": "54013",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Erin Campbell, PA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Erin Campbell, PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erin Lindsey Campbell, PA-C LLC
• Joseph B. Crabtree, MD
• Morgan Elizabeth Dickerson, MSW, LCSW
• Naomi Ariana Downey, D.C.
• Todd Andrew Downey, D.C.
• Elizabeth Englebrick, CCC-SLP
• Faith Life Home Care LLC
• Aimee K French, HHP
• Duane Edward Gerking
• William Warren Gillespie, D.C.

• Surgical Physician Assistant in Newcastle, CA
• Providers in Newcastle, CA by specialty
• Surgical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.