Individual provider Active NPI

Nathan Campbell, DO

  • Internal Medicine Physician
  • Spokane, WA
National Provider Identifier
1356799290
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OP61323112 Issued in WA
Practice address
105 W 8TH Ave Ste 6010
Spokane, WA 99204-2341
Phone
(509) 838-5950
Fax
(509) 838-5961
NPI assigned
Jun 1, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MB10544400 NJ
Internal Medicine Physician 207R00000X OP61323112 WA Primary

Addresses

Primary practice location

105 W 8TH Ave Ste 6010
Spokane, WA 99204-2341

Mailing address

105 W 8TH Ave Ste 6010
Spokane, WA 99204-2341
Phone (509) 838-5950

Other practice location 1

401 W Greenlawn Ave
Lansing, MI 48910-2819
Phone (517) 975-6000

Other practice location 2

16528 E Desmet Ct.
Spokane Valley, WA 99216-3522
Phone (509) 489-6995

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220805002504 WA Practitioner - GastroenterologyPractitioner - Internal Medicine 4981086071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spokane Digestive Disease Center PSGroup PAC ID 3476447350, 39 clinicians

Practice addresses (Care Compare)

105 W 8TH Ave
Suite 6010
Spokane, WA 99204-2318
Phone (509) 838-5950

Hospital & facility affiliations

  • Prov Sacred HRT Med Ctr & Childs Hosp. Hospital, Spokane, WA, CCN 500054

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy78
Upper gastrointestinal (GI) endoscopy for acid reflux69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB10544400NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spokane Digestive Disease Center, P.S. CurrentSince Nov 1, 2024 Accepting new patients
Spokane Digestive Disease Center, P.S. Past Accepting new patients

Locations

105 W 8th Ave
Ste 6010
Spokane, WA 99204
Phone (509) 838-5950

105 W 8th Ave
Ste 7050
Spokane, WA 99204
Phone (509) 252-1711

Interoperability endpoints

  • Direct secure messaging: ncampbell2485641@wm.providencedirect.org

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1356799290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W 8TH AVE STE 6010",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042341",
            "telephone_number": "509-838-5950",
            "fax_number": "509-838-5961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W 8TH AVE STE 6010",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042341",
            "telephone_number": "509-838-5950",
            "fax_number": "509-838-5961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 W Greenlawn Ave",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489102819",
            "country_code": "US",
            "telephone_number": "517-975-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16528 E Desmet Ct.",
            "address_purpose": "LOCATION",
            "city": "Spokane Valley",
            "state": "WA",
            "postal_code": "992163522",
            "country_code": "US",
            "telephone_number": "509-489-6995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "NATHAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-01",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB10544400",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "OP61323112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.