Active NPI
Seth Campbell
- Medical Physician Assistant
- Fleetwood, PA
National Provider Identifier
1295103117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA057814
- Practice address
- 14351 Kutztown Rd
Fleetwood, PA 19522-9273 - Phone
- (610) 944-8800
- Fax
- (610) 944-8213
- NPI assigned
- Sep 9, 2015
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MA057814 | PA | Primary |
Addresses
Primary practice location
14351 Kutztown Rd
Fleetwood, PA 19522-9273
Mailing address
PO Box 783311
Philadelphia, PA 19178-3311
Phone (484) 884-4500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151002001882 | PA | Practitioner - Physician Assistant | 4385952803 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 N 17TH St
Allentown, PA 18104-5052
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA057814 | PA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients |
Locations
1730 Chew St
Allentown, PA 18104
Phone (610) 402-3500
1627 Chew St
Fl 1
Allentown, PA 18102
Phone (610) 969-2800
14351 Kutztown Rd
Fleetwood, PA 19522
Phone (610) 944-8800
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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Allentown, PA
- NPI 1932735651
PA
-
- Developmental - Behavioral Pediatrics Physician
- Allentown, PA
- NPI 1780155689
PA
-
- Family Medicine Physician
- East Stroudsburg, PA
- NPI 1245093368
-
- Family Medicine Physician
- Allentown, PA
- NPI 1669480034
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441756800000",
"number": "1295103117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 783311",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191783311",
"telephone_number": "484-884-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14351 KUTZTOWN RD",
"city": "FLEETWOOD",
"state": "PA",
"postal_code": "195229273",
"telephone_number": "610-944-8800",
"fax_number": "610-944-8213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "SETH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-09",
"last_updated": "2015-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA057814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fleetwood, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; 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.