Eileen M Campetti, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

OA003010 Issued in PA

Practice address

670 N River St
Suite 201
Plains, PA 18705-1027

Phone

(570) 208-0150

Fax

(570) 208-0154

NPI assigned

Feb 26, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Eileen M Garvey Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1194065342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 N RIVER STREET",
            "address_2": "SUITE 201",
            "city": "PLAINS",
            "state": "PA",
            "postal_code": "187051027",
            "telephone_number": "570-208-0150",
            "fax_number": "570-208-0154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 N RIVER ST",
            "address_2": "SUITE 201",
            "city": "PLAINS",
            "state": "PA",
            "postal_code": "187051027",
            "telephone_number": "570-208-0150",
            "fax_number": "570-208-0154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPETTI",
        "first_name": "EILEEN",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-26",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "OA003010",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA056029",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1031985360001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EILEEN",
            "last_name": "GARVEY",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Medical Physician Assistant in Plains, PA
• Providers in Plains, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.