NPIMap

Individual provider Active NPI

Spencer Ramon Campbell, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Lawton, OK
National Provider Identifier
1376038539
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
38206 Issued in OK
Practice address
1002 SW 52ND St
Lawton, OK 73505-7840
Phone
(580) 248-2220
Fax
(580) 248-2208
NPI assigned
Jun 28, 2018
Last updated
Aug 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 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 15130 ND
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 38206 OK Primary

Addresses

Primary practice location

1002 SW 52ND St
Lawton, OK 73505-7840

Mailing address

1002 SW 52ND St
Lawton, OK 73505-7840
Phone (580) 248-2220

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230823001730 OK Practitioner - Internal Medicine 3678936762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1002 SW 52ND St
Lawton, OK 73505-7840
Phone (580) 248-2220

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
18.88 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
62.95

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15130NDMDInternal Medicine Physician
38206OKMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spencer Campbell, M.D., PLLC Endocrinology, Diabetes & Metabolism CurrentSince Jun 21, 2023 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Comanche County Hospital Authority Past Accepting new patients

Locations

1002 SW 52nd St
Lawton, OK 73505
Phone (580) 248-2220

Organizations & group practices 3

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.

Hospital & facility affiliations 6

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": "1530144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1376038539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 SW 52ND ST",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735057840",
            "telephone_number": "580-248-2220",
            "fax_number": "580-248-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 SW 52ND ST",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735057840",
            "telephone_number": "580-248-2220",
            "fax_number": "580-248-2208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "SPENCER",
        "middle_name": "RAMON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-28",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ND",
            "license": "15130",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "OK",
            "license": "38206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

Verify at the official NPI Registry.