Luis Ismael Campos, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

MD038866L Issued in PA

Practice address

101 S 17TH St
Allentown, PA 18104-6704

Phone

(610) 821-9228

NPI assigned

Nov 26, 2005

Last updated

Jul 8, 2007By 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

Doctor of Medicine

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.

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

{
    "created_epoch": "1132963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366425027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S 17TH ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181046704",
            "telephone_number": "610-821-9228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S 17TH ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181046704",
            "telephone_number": "610-821-9228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPOS",
        "first_name": "LUIS",
        "middle_name": "ISMAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "MD038866L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000960429",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daryla J. Campbell, CRNA
• Jade Elizabeth Campbell, PA-C
• Kyle Campbell, DMD
• Madisyn Campbell
• Nicholas Campo, MD
• Erin Canale
• Keishla Mayrim Cancel Soto
• Waleska Joanne Cancel-Kenyon, M.D.
• Fe Esperanza Candelario, LPC
• Joseph Candio

• General Practice Physician in Allentown, PA
• Providers in Allentown, PA by specialty
• General Practice Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.