Organization Active NPI

Everett Lee Campbell, MD, PA

  • Orthopaedic Surgery Physician
  • El Paso, TX
National Provider Identifier
1265773345
Registry record updated Nov 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
H3001 Issued in TX
Legal business name
EVERETT LEE CAMPBELL, MD, PA
Practice address
8700 Montana Ave # C
El Paso, TX 79925-1221
Phone
(915) 856-3900
Fax
(915) 856-3904
NPI assigned
Mar 14, 2013
Last updated
Nov 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2019

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

Authorized official

Name
Dr. Everett Lee Campbell, MDNPI 1861505679
Title
Physician/Owner
Phone
(915) 856-3900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X H3001 TX Primary

Addresses

Primary practice location

8700 Montana Ave # C
El Paso, TX 79925-1221

Mailing address

8700 Montana Ave # C
El Paso, TX 79925-1221
Phone (915) 856-3900

Other identifiers 1

IdentifierTypeStateIssuer
H3001OtherTXTX MED LIC H3001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130516000422 TX Part B Supplier - Clinic/Group Practice 3476790122 Receives reassigned benefits from 1 practitioner
Practice locations: El Paso, TX

National Provider Directory

National Provider Directory

Locations

8700 Montana Ave
#C
El Paso, TX 79925
Phone (915) 856-3900

8700 Montana Ave
Ste C
El Paso, TX 79925
Phone (915) 856-3900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573430400000",
    "number": "1265773345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 MONTANA AVE # C",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799251221",
            "telephone_number": "915-856-3900",
            "fax_number": "915-856-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 MONTANA AVE # C",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799251221",
            "telephone_number": "915-856-3900",
            "fax_number": "915-856-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERETT LEE CAMPBELL, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-14",
        "last_updated": "2019-11-11",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "EVERETT",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "915-856-3900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "H3001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX MED LIC H3001",
            "identifier": "H3001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.