NPIMap

Organization Active NPI

Connie J Campbell, MD, PLLC

  • Surgery Physician
  • Manchester, NH
National Provider Identifier
1306878749
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
10856 Issued in NH
Legal business name
CONNIE J CAMPBELL, MD, PLLC
Practice address
765 S Main St
#101
Manchester, NH 03102-5141
Phone
(603) 656-0326
Fax
(603) 656-0329
NPI assigned
Jul 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Connie J Campbell, MD
Title
Owner/Surgeon
Phone
(603) 656-0326

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 10856 NH Primary

Addresses

Primary practice location

765 S Main St
#101
Manchester, NH 03102-5141

Mailing address

765 S Main St
#101
Manchester, NH 03102-5141
Phone (603) 656-0326

Other identifiers 1

IdentifierTypeStateIssuer
30212367MedicaidNH

National Provider Directory

National Provider Directory

Locations

765 S Main St
Ste 101
Manchester, NH 03102
Phone (603) 656-0326

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306878749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 S MAIN ST",
            "address_2": "#101",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031025141",
            "telephone_number": "603-656-0326",
            "fax_number": "603-656-0329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 S MAIN ST",
            "address_2": "#101",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031025141",
            "telephone_number": "603-656-0326",
            "fax_number": "603-656-0329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNIE J CAMPBELL, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/SURGEON",
        "authorized_official_telephone_number": "603-656-0326",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NH",
            "license": "10856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30212367",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.