NPIMap

Individual provider Active NPI

Jennie Campbell, DO

  • Internal Medicine Physician
  • Lower Gwynedd, PA
National Provider Identifier
1275539710
Registry record updated Apr 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS009956L Issued in PA
Practice address
605 N Bethlehem Pike
Lower Gwynedd, PA 19002-2501
Phone
(215) 643-2119
Fax
(215) 643-3568
NPI assigned
Jun 21, 2005
Last updated
Apr 5, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS009956L PA Primary

Addresses

Primary practice location

605 N Bethlehem Pike
Lower Gwynedd, PA 19002-2501

Mailing address

605 N Bethlehem Pike
Lower Gwynedd, PA 19002-2501
Phone (215) 643-2119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040130000705 PA Practitioner - Internal Medicine 0547163065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Rehabclinics SPT IncGroup PAC ID 7113834102, shared by 20 NPIs, 101 clinicians

Practice addresses (Care Compare)

101 E Olney Ave
Philadelphia, PA 19120-2470
Phone (215) 927-1937

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

4275 County Line Rd
Suite 26
Chalfont, PA 18914-2212
Phone (267) 952-8120

605 N Bethlehem Pike
Ambler, PA 19002-2501
Phone (215) 646-9220

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS009956LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Einstein Community Health Associates, Inc Internal Medicine CurrentSince Dec 15, 2024 Accepting new patients
Einstein Community Health Associates, Inc CurrentSince Dec 15, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1200 York Rd
Abington, PA 19001
Phone (215) 481-2222

500 York Rd
Ste 203
Jenkintown, PA 19046
Phone (215) 886-0174

605 N Bethlehem Pike
Lower Gwynedd, PA 19002
Phone (215) 643-2119

101 E Olney Ave
Ste C5
Philadelphia, PA 19120
Phone (215) 927-1937

Organizations & group practices 3

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522886400000",
    "number": "1275539710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 N BETHLEHEM PIKE",
            "city": "LOWER GWYNEDD",
            "state": "PA",
            "postal_code": "190022501",
            "telephone_number": "215-643-2119",
            "fax_number": "215-643-3568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 N BETHLEHEM PIKE",
            "city": "LOWER GWYNEDD",
            "state": "PA",
            "postal_code": "190022501",
            "telephone_number": "215-643-2119",
            "fax_number": "215-643-3568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "JENNIE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-21",
        "last_updated": "2018-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS009956L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lower Gwynedd, PA

Sources for this page

Verify at the official NPI Registry.