Individual provider Active NPI

Vanna R Campion, MD

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1235540055
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
54489 Issued in AZ
Practice address
3864 N 27TH Ave
Phoenix, AZ 85017-4703
Phone
(602) 685-6000
Fax
(602) 212-6250
NPI assigned
May 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 54489 AZ Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

3864 N 27TH Ave
Phoenix, AZ 85017-4703

Mailing address

3003 N Central Ave Ste 400
Phoenix, AZ 85012-2929
Phone (602) 685-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20171109001694 AZ Practitioner - Family Practice 2567743842 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Terros, Inc. CurrentSince Jun 1, 2022 Accepting new patients
Terros Inc CurrentSince Jun 1, 2022 Accepting new patients
Terros, Inc. Current Accepting new patients
Mountain Park Health Center - Dental Past Accepting new patients

Locations

6151 W Olive Ave
Glendale, AZ 85302
Phone (623) 939-8618

6153 W Olive Ave
Glendale, AZ 85302
Phone (602) 685-6120

1111 S Stapley Dr
Mesa, AZ 85204
Phone (480) 464-6802

8804 N 23rd Ave
Ste A1
Phoenix, AZ 85021

4909 E McDowell Rd
Phoenix, AZ 85008
Phone (602) 244-9591

3864 N 27th Ave
Phoenix, AZ 85017
Phone (602) 358-0078

3003 N Central Ave
Ste 400
Phoenix, AZ 85012
Phone (602) 351-3015

Interoperability endpoints

  • Direct secure messaging: vanna.campion.p1@direct.terros.nextgenshare.com
  • Direct secure messaging: vanna.campion.p1@direct.lifewell.nextgenshare.com

Ownership & related parties

All facility ownership & control disclosures 14

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Terros, Inc.Glendale, AZ, CCN 031923 Federally qualified health center Corporate Officer Nov 12, 2024
Terros HealthPhoenix, AZ, CCN 031934 Federally qualified health center Corporate Officer Nov 12, 2024
Terros, Inc - FQHC McDowell RdPhoenix, AZ, CCN 031960 Federally qualified health center Corporate Officer Nov 12, 2024
Terros HealthMesa, AZ, CCN 031000 Federally qualified health center Corporate Officer Nov 12, 2024
TerroshealthPhoenix, AZ, CCN 031031 Federally qualified health center Corporate Officer Mar 1, 2025
Terros, Inc.Tempe, AZ, CCN 031032 Federally qualified health center Corporate Officer Nov 12, 2024
Terros HealthPhoenix, AZ, CCN 031033 Federally qualified health center Corporate Officer Nov 12, 2024
Terros, Inc.Mesa, AZ, CCN 031038 Federally qualified health center Corporate Officer Nov 12, 2024
Terros, Inc.Phoenix, AZ, CCN 031044 Federally qualified health center Corporate Officer Nov 12, 2024
Terros, Inc.Mesa, AZ, CCN 031043 Federally qualified health center Corporate Officer Nov 12, 2024
Terros, Inc.Phoenix, AZ, CCN 031045 Federally qualified health center Corporate Officer Nov 12, 2024
Terros HealthPhoenix, AZ, CCN 031051 Federally qualified health center Corporate Officer Nov 12, 2024
Terros HealthPhoenix, AZ, CCN 031048 Federally qualified health center Corporate Officer Nov 12, 2024
Terros, Inc.Glendale, AZ, CCN 031058 Federally qualified health center Corporate Officer Nov 12, 2024

Owned or controlled facilities with NPI records 14

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 14

Organizations & group practices 4

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": "1400025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1235540055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 N CENTRAL AVE STE 400",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122929",
            "telephone_number": "602-685-6000",
            "fax_number": "602-302-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3864 N 27TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850174703",
            "telephone_number": "602-685-6000",
            "fax_number": "602-212-6250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPION",
        "first_name": "VANNA",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-14",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "54489",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.