Clay I. Campbell M.D.,P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M-6056 Issued in ID

Legal business name

CLAY I. CAMPBELL M.D.,P.C.

Practice address

166 S 5TH St
Montpelier, ID 83254-1557

Phone

(208) 847-3847

Fax

(208) 847-1620

NPI assigned

Nov 2, 2006

Last updated

Dec 8, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Clay I Campbell, M.D.

Title

Owner

Phone

(208) 847-3847

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1295813475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 S 5TH ST",
            "city": "MONTPELIER",
            "state": "ID",
            "postal_code": "832541557",
            "telephone_number": "208-847-3847",
            "fax_number": "208-847-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 S 5TH ST",
            "city": "MONTPELIER",
            "state": "ID",
            "postal_code": "832541557",
            "telephone_number": "208-847-3847",
            "fax_number": "208-847-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAY I. CAMPBELL M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "CLAY",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-847-3847",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M-6056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Wayne Brown, MSW, LCSW
• Justin Richard Brunner, DPT
• Gabriel Neal Bush, MSW, LMSW
• Alex Michael Carr, FNP
• Bonnie Colleen Caywood, RD
• Complete Health and Wellness
• Peter Melvin Crane, M.D.
• William Crane, D.P.T.
• Joseph Dayton
• Doris Thornock

• Family Medicine Physician in Montpelier, ID
• Providers in Montpelier, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.