Organization Active NPI

Campbell Medical Group PLLC

  • Internal Medicine Physician
  • Sugar Land, TX
National Provider Identifier
1144849225
Registry record updated Apr 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CAMPBELL MEDICAL GROUP PLLC
Practice address
14019 Southwest Fwy Ste 201
Sugar Land, TX 77478-3551
Phone
(281) 302-5121
NPI assigned
Apr 9, 2020
Organization subpart
Yes
Parent organization
CAMPBELL MEDICAL GROUP PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 9, 2020

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

Authorized official

Name
Samantha Orellano
Title
Coo
Phone
(713) 468-3155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

14019 Southwest Fwy Ste 201
Sugar Land, TX 77478-3551

Mailing address

1602 Parkway Blvd
Sugar Land, TX 77478-3425

Other names 1

  • Sugar Creek Medical Center Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL software

National Provider Directory

National Provider Directory
Part of
Campbell Medical Group PLLC

Locations

1012 Campbell Rd
Ste A
Houston, TX 77055
Phone (713) 468-3155

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1586390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586390400000",
    "number": "1144849225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 PARKWAY BLVD",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14019 SOUTHWEST FWY STE 201",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783551",
            "telephone_number": "281-302-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPBELL MEDICAL GROUP PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAMPBELL MEDICAL GROUP PLLC",
        "enumeration_date": "2020-04-09",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A",
        "authorized_official_last_name": "ORELLANO",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "713-468-3155"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "software",
            "affiliation": "N",
            "address_1": "1602 Parkway Blvd",
            "city": "Sugar Land",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774783425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Sugar Creek Medical Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; 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.