Active NPI
Ronald R Campbell, MD
- Psychiatry Physician
- Auburn, ME
National Provider Identifier
1215967708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 8899
- Practice address
- Two Great Falls Plaza
#22
Auburn, ME 04210 - Phone
- (207) 782-7640
- Fax
- (207) 784-4868
- NPI assigned
- Jul 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 8899 | ME | Primary |
Addresses
Primary practice location
Two Great Falls Plaza
#22
Auburn, ME 04210
Mailing address
Two Great Falls Plaza
#22
Auburn, ME 04210
Phone (207) 782-7640
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003534 | Other | ME | BCBS STAR # |
| 23003000 | Medicaid | ME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215967708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "TWO GREAT FALLS PLAZA",
"address_2": "#22",
"city": "AUBURN",
"state": "ME",
"postal_code": "04210",
"telephone_number": "207-782-7640",
"fax_number": "207-784-4868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "TWO GREAT FALLS PLAZA",
"address_2": "#22",
"city": "AUBURN",
"state": "ME",
"postal_code": "04210",
"telephone_number": "207-782-7640",
"fax_number": "207-784-4868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "RONALD",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "ME",
"license": "8899",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS STAR #",
"identifier": "003534",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "23003000",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.