Campbell Clinic PC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CAMPBELL CLINIC PC

Practice address

1400 S Germantown Rd
Germantown, TN 38138-2205

Phone

(901) 759-3100

NPI assigned

Jan 29, 2008

Last updated

Jun 3, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

CAMPBELL CLINIC PCAs reported in NPPES

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

Authorized official

Name

Daniel Shumate

Title

Cfo

Phone

(901) 759-3100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Campbell Clinic, PC

  • Orthopaedic Surgery Physician
  • Germantown, TN
  • NPI 1003835141

  O20100930000393

  Same enrollment

Part of

Campbell Clinic PC

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307059200000",
    "number": "1376720714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S GERMANTOWN RD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381382205",
            "telephone_number": "901-759-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S GERMANTOWN RD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381382205",
            "telephone_number": "901-759-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPBELL CLINIC PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAMPBELL CLINIC PC",
        "enumeration_date": "2008-01-29",
        "last_updated": "2011-06-03",
        "status": "A",
        "authorized_official_last_name": "SHUMATE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "901-759-3100"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yves Calderone, LMSW
• Timothy J Callaghan, M.D.
• Thomas Ralph Callihan, MD
• Dawson Brianna Callonas, ATC, LAT
• Campbell Clinic (Campbell Clinic MRI)
• Campbell Clinic PC
• Campbell Clinic Surgery Center, LLC
• Campbell Clinic, PC
• Angela Campbell
• Jasmine Elyse Campbell, APRN

• Durable Medical Equipment & Medical Supplies in Germantown, TN
• Providers in Germantown, TN by specialty
• Durable Medical Equipment & Medical Supplies in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.