Richard Anthony Campana Sr., MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101035546 Issued in VA

Practice address

312 2ND St
Williamsburg, VA 23185-4528

Phone

(757) 229-4141

Fax

(757) 229-1792

NPI assigned

Jul 8, 2005

Reactivated

Mar 29, 2006

Last updated

May 19, 2014By 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 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2017 through Jan 1, 2027

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• First Med of Williamsburg

  • Family Medicine Physician
  • Williamsburg, VA
  • NPI 1265616221
  NPD (past) Authorized official
• First Med of Williamsburg

  • Adult Medicine Physician
  • Williamsburg, VA
  • NPI 1669631560
  Authorized official Same address or phone

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400457600000",
    "number": "1447258033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 SECOND ST",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231854528",
            "telephone_number": "757-229-4141",
            "fax_number": "757-229-1792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 2ND ST",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231854528",
            "telephone_number": "757-229-4141",
            "fax_number": "757-229-1792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPANA",
        "first_name": "RICHARD",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2014-05-19",
        "deactivation_date": "2006-03-15",
        "reactivation_date": "2006-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101035546",
            "primary": true
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "VA",
            "license": "0101035546",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "016670",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC GROUP NUMBER",
            "identifier": "0603310001",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randi Caldwell
• Allison Gillman Cale, NP
• Calidad Transit LLC
• Jessica Callaway, M.S.
• Thomas Camp, MD
• Anh Campbell, MD
• Carolyn Hahn Campbell, PT
• Glenn C Campbell, MD
• Jennifer Leigh Campbell, COTA/L
• Madalyn Campbell

• Family Medicine Physician in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.