Edward Joseph Campbell, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

180990-1205 Issued in UT

Practice address

1060 E 100 S
Ste 109
Salt Lake City, UT 84102-1501

Phone

(801) 328-4662

Fax

(801) 328-9166

NPI assigned

Sep 19, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Heredilab, Inc

  • Clinical Medical Laboratory
  • Salt Lake City, UT
  • NPI 1154884575
  NPD (past)

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467676800000",
    "number": "1386741833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 E PIONEER FORK RD",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841081682",
            "telephone_number": "801-582-4313",
            "fax_number": "801-583-4206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 E 100 S",
            "address_2": "STE 109",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021501",
            "telephone_number": "801-328-4662",
            "fax_number": "801-328-9166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "EDWARD",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-19",
        "last_updated": "2016-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "UT",
            "license": "180990-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Mark Campbell, MD
• Connie Jo Campbell
• Connor Logan Campbell
• Connor Steven Campbell, MS, MD
• Craig James Campbell, D.P.M.
• Ivonne Jessica Campbell
• Jacqueline Romney Campbell, L.C.S.W.
• Joanna Campbell
• Jonathan G Campbell, DDS
• Justin Campbell

• All providers in Salt Lake City, UT
• Pulmonary Disease Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.