Individual provider Active NPI

Christina L. Campbell, D.O.

  • Emergency Medicine Physician
  • Clarkston, MI
National Provider Identifier
1124075684
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
5101014451 Issued in MI
Practice address
6310 Sashabaw Rd Ste a
Christina Campbell, DO, PLLC
Clarkston, MI 48346-2270
Phone
(248) 425-8352
NPI assigned
May 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 5101014451 MI Primary

Addresses

Primary practice location

6310 Sashabaw Rd Ste a
Christina Campbell, DO, PLLC
Clarkston, MI 48346-2270

Mailing address

4572 Oakhurst Ridge Rd
Clarkston, MI 48348-5071
Phone (248) 425-8352

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20040903000826 MI Practitioner - Emergency Medicine 8921074675 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101014451MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Department Physicians, P.C. Emergency Medicine CurrentSince Oct 15, 2013 Accepting new patients
Epmg of Michigan, P.C. Emergency Medicine CurrentSince Sep 1, 2010 Accepting new patients
In-Home Physicians, LLC CurrentSince Jan 8, 2023 Accepting new patients
Pontiac General Hospital and Medical Centers Past Accepting new patients
Emergency Medical Associates, PLLC Emergency Medicine Past Accepting new patients
Hospital Health Care Inc. Past Accepting new patients
Calhoun County Emergency Physicians PC Emergency Medicine Past Accepting new patients

Locations

4100 S River Rd
East China, MI 48054
Phone (810) 329-6677

17717 Masonic
Fraser, MI 48026
Phone (586) 294-0600

620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450

1375 N Main St
Lapeer, MI 48446
Phone (810) 667-5500

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124075684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4572 OAKHURST RIDGE RD",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483485071",
            "telephone_number": "248-425-8352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6310 SASHABAW RD STE A",
            "address_2": "CHRISTINA CAMPBELL, DO, PLLC",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462270",
            "telephone_number": "248-425-8352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "CHRISTINA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101014451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, MI

Sources for this page

Verify at the official NPI Registry.