NPIMap

Organization Active NPI

Campbell Pediatrics

  • Pediatrics Physician
  • Royal Oak, MI
National Provider Identifier
1457796971
Registry record updated May 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301054627 Issued in MI
Legal business name
CAMPBELL PEDIATRICS
Practice address
1010 N Campbell Rd
Suite 5
Royal Oak, MI 48067-1570
Phone
(248) 629-9146
Fax
(810) 233-9710
NPI assigned
May 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2013

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

Authorized official

Name
Rashed A Hasan, MDNPI 1144278136
Title
Owner
Phone
(248) 417-3890

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 4301054627 MI Primary

Addresses

Primary practice location

1010 N Campbell Rd
Suite 5
Royal Oak, MI 48067-1570

Mailing address

PO Box 99148
Troy, MI 48099-9148
Phone (810) 233-7103

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1368144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368489600000",
    "number": "1457796971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99148",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480999148",
            "telephone_number": "810-233-7103",
            "fax_number": "810-233-9710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N CAMPBELL RD",
            "address_2": "SUITE 5",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480671570",
            "telephone_number": "248-629-9146",
            "fax_number": "810-233-9710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPBELL PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-10",
        "last_updated": "2013-05-14",
        "status": "A",
        "authorized_official_last_name": "HASAN",
        "authorized_official_first_name": "RASHED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-417-3890",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301054627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; 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.