Gary Hubert Campbell, DO

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

33535 Issued in MO

Practice address

21 Conway Springs Dr
Chesterfield, MO 63017-3411

Phone

(314) 514-0354

Fax

(314) 579-6083

NPI assigned

Jan 28, 2008

Last updated

Jan 28, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201478400000",
    "number": "1194902510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 CONWAY SPRINGS DR",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173411",
            "telephone_number": "314-514-0354",
            "fax_number": "314-579-6083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 CONWAY SPRINGS DR",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173411",
            "telephone_number": "314-514-0354",
            "fax_number": "314-579-6083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "GARY",
        "middle_name": "HUBERT",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "MO",
            "license": "33535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Calm Counseling & Wellness Center, LLC (Calm Counseling & Wellness Center)
• Carla Calvin, NNP
• Jennifer Rene Calvin, MA, LPC
• Luke William Calvin
• Dorothy Cambron
• J William Campbell, M.D.
• Jesica Campbell, N.P.
• Kimberli Louise Campbell, MSN, APRN, FNP-BC
• Lorie Campbell
• Paige Campbell

• Adult Medicine Physician in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Adult Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; 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.