Active NPI
Ignacio Campa-Garcia, PA
- Physician Assistant
- Dickson City, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA055359
- Practice address
- 334 Main St
Dickson City, PA 18519-1668 - Phone
- (865) 500-1668
- NPI assigned
- Jun 22, 2006
- Last updated
- Apr 17, 2026
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 58320 | CA | |
| Physician Assistant | 363A00000X | MA055359 | PA | Primary |
| Physician Assistant | 363A00000X | 7606 | WI | |
| Medical Physician Assistant | 363AM0700X | PA-597 | ID |
Addresses
Primary practice location
334 Main St
Dickson City, PA 18519-1668
Mailing address
3025 W Cherry LN
Suite B
Meridian, ID 83642-1125
Phone (208) 367-8550
Other practice location 1
1000 N Oak Avenue
Marshfield, WI 54449-5703
Phone (715) 387-5511
Other practice location 2
3025 W Cherry Ln
Suite B
Meridian, ID 83642-1125
Phone (208) 367-8550
Other practice location 3
800 Riverside Dr
Waupaca, WI 54981-1943
Phone (715) 258-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, CA, WI, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511
1105 6TH St
Traverse City, MI 49684-2345
Phone (231) 935-5000
9576 Hwy 70
Minocqua, WI 54548-9067
Phone (715) 358-1710
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58320 | CA | MD | Pharmacist |
| 7606 | WI | MD | Physician Assistant |
| PA-597 | ID | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger-HM Joint Venture, LLC | Physician Assistant | Current | Accepting new patients |
| Lakeview Medical Center Inc of Rice Lake | Current | Accepting new patients | |
| Atlantic Physician Services of Maryland, PC | Physician Assistant | Current | Accepting new patients |
| Flambeau Hospital Inc | Current | Accepting new patients | |
| Emergency Care Services of Pennsylvania, P.C. | Physician Assistant | Current | Accepting new patients |
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients | |
| Memorial Hospital Inc | Current | Accepting new patients | |
| Geisinger-HM Joint Venture, LLC | Current | Accepting new patients | |
| Geisinger Clinic | Physician Assistant | Current | Accepting new patients |
| Thedacare Medical Center - Shawano, Inc. | Current | Accepting new patients | |
| Thedacare Medical Center - Waupaca, Inc. | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Flambeau Hospital Inc | Current | Accepting new patients | |
| Thedacare Medical Center - Waupaca, Inc. | Physician Assistant | Current | Accepting new patients |
| Lakeview Medical Center Inc of Rice Lake | Current | Accepting new patients | |
| Richard S Veiga MD SC | Current | Accepting new patients | |
| Solano Gateway Medical Group Inc | Physician Assistant | Current | Accepting new patients |
| Marshfield Clinic Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients | |
| Geisinger Clinic | Past | Accepting new patients | |
| Saint Alphonsus Regional Medical Center Inc | Physician Assistant | Past | Accepting new patients |
Locations
225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051
100 N Academy Ave
Danville, PA 17822
300 Highland Ave
Hanover, PA 17331
Phone (717) 316-3711
10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566
2500 Bernville Rd
Reading, PA 19605
Phone (610) 378-2300
334 Main St
Scranton, PA 18519
Phone (570) 307-1767
705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090
3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200
1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111
1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399
N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101
1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133
100 Cty Road B
Shawano, WI 54166
Phone (715) 524-2161
800 Riverside Dr
Waupaca, WI 54981
Phone (715) 258-1000
Interoperability endpoints
- icampagarcia2252350@oc.providencedirect.org
Organizations & group practices 31
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.
-
- Emergency Medicine Physician
- Traverse City, MI
- NPI 1336821495
-
dba Marshfield Medical Center - Beaver Dam Professional Services
- Clinic/Center
- Beaver Dam, WI
- NPI 1972188555
-
dba MMC - Park Falls Outreach Services
- Clinic/Center
- Park Falls, WI
- NPI 1194317966
-
dba Marshfield Medical Center - Rice Lake Professional Services
- Clinic/Center
- Rice Lake, WI
- NPI 1093201832
-
dba Marshfield Clinic Florida Teleradiology/Telehealth
- Clinic/Center
- Marshfield, WI
- NPI 1952347981
-
dba Marshfield Medical Center - Neillsville
- Critical Access Hospital
- Neillsville, WI
- NPI 1346239373
-
- Emergency Medicine Physician
- Fairfield, CA
- NPI 1952344293
Physician Assistant
-
- Critical Access Hospital
- Shawano, WI
- NPI 1548260839
-
- Emergency Medicine Physician
- Waupaca, WI
- NPI 1780782680
Physician Assistant
-
- Emergency Medicine Physician
- Langhorne, PA
- NPI 1114955010
-
- Emergency Medicine Physician
- Hanover, PA
- NPI 1619990900
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Marshfield Medical Center - Minocqua
- Rural Acute Care Hospital
- Minocqua, WI
- NPI 1376197665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776384000000",
"number": "1265478648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3025 W CHERRY LN",
"address_2": "SUITE B",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836421125",
"telephone_number": "208-367-8550",
"fax_number": "208-367-5464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "334 MAIN ST",
"city": "DICKSON CITY",
"state": "PA",
"postal_code": "185191668",
"telephone_number": "865-500-1668"
}
],
"practiceLocations": [
{
"address_1": "1000 N Oak Avenue",
"address_purpose": "LOCATION",
"city": "Marshfield",
"state": "WI",
"postal_code": "544495703",
"country_code": "US",
"telephone_number": "715-387-5511",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3025 W Cherry Ln",
"address_2": "Suite B",
"address_purpose": "LOCATION",
"city": "Meridian",
"state": "ID",
"postal_code": "836421125",
"country_code": "US",
"telephone_number": "208-367-8550",
"fax_number": "208-367-5464",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "800 Riverside Dr",
"address_purpose": "LOCATION",
"city": "Waupaca",
"state": "WI",
"postal_code": "549811943",
"country_code": "US",
"telephone_number": "715-258-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMPA-GARCIA",
"first_name": "IGNACIO",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-22",
"last_updated": "2026-04-17",
"certification_date": "2026-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "58320",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA055359",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "7606",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "ID",
"license": "PA-597",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dickson City, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.