Louie Campbell, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

649 Issued in OK

Practice address

1805 W Garriott Rd
Enid, OK 73703-5526

Phone

(580) 233-9012

Fax

(580) 249-4269

NPI assigned

Jun 22, 2005

Last updated

Jan 25, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD (past)
• Jackson County Memorial Hospital Authority

  dba Harmon Memorial Hospital

  • Critical Access Hospital
  • Hollis, OK
  • NPI 1295735991
  NPD (past)
• Jeri Ellis MD MPH PC

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1043361934
  NPD (past)

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453680000000",
    "number": "1356347629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 N INDEPENDENCE AVE",
            "address_2": "280",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731125556",
            "telephone_number": "580-233-9012",
            "fax_number": "580-249-4269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 W GARRIOTT RD",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737035526",
            "telephone_number": "580-233-9012",
            "fax_number": "580-249-4269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "LOUIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2016-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200012180A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cecilia Campbell
• Courtney Nicole Campbell, APRN
• Darla Lynn Campbell, OTRL
• Gigi Campbell
• Laramie Logan Campbell, B.S.
• Yolanda Campbell
• Samantha Cannata
• Brittany Scott Cannon
• Charles Lawrence Cannon, M.D.
• Kayla Cannon, OTR/L

• Physician Assistant in Enid, OK
• Providers in Enid, OK by specialty
• Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; 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.