NPIMap

Individual provider Active NPI

Angelo Joseph Campagna, M.D.

  • Obstetrics & Gynecology Physician
  • Lockport, NY
National Provider Identifier
1508821638
Registry record updated Oct 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
194081 Issued in NY
Practice address
Ulrich City Centre
Suite 7
Lockport, NY 14094-5368
Phone
(716) 433-1941
Fax
(716) 439-1233
NPI assigned
Apr 20, 2006
Last updated
Oct 10, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 194081 NY Primary

Addresses

Primary practice location

Ulrich City Centre
Suite 7
Lockport, NY 14094-5368

Mailing address

175 Walnut Street
Ulrich City Centre, Suite 7
Lockport, NY 14094-5368
Phone (716) 433-1941

Other identifiers 1

IdentifierTypeStateIssuer
01454104MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20111121000000 NY Practitioner - Obstetrics/Gynecology 5193769651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
General Physician PCGroup PAC ID 9537213079, 488 clinicians

Practice addresses (Care Compare)

3898 Vineyard Dr
Dunkirk, NY 14048-3559
Phone (716) 710-8266

6009 S Transit Rd
Suite 300
Lockport, NY 14094-6307
Phone (716) 656-4077

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
194081NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
General Physician, PC CurrentSince Jul 10, 2019 Accepting new patients

Locations

3898 Vineyard Dr
Dunkirk, NY 14048
Phone (716) 363-1515

175 Walnut St
Ste 7
Lockport, NY 14094
Phone (716) 433-1941

Interoperability endpoints

  • Direct secure messaging: acampagna@gppc.medentdirect.com

Organizations & group practices 1

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 8

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": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318204800000",
    "number": "1508821638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 WALNUT STREET",
            "address_2": "ULRICH CITY CENTRE, SUITE 7",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140945368",
            "telephone_number": "716-433-1941",
            "fax_number": "716-439-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ULRICH CITY CENTRE",
            "address_2": "SUITE 7",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140945368",
            "telephone_number": "716-433-1941",
            "fax_number": "716-439-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPAGNA",
        "first_name": "ANGELO",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2011-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "194081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01454104",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockport, NY

Sources for this page

Verify at the official NPI Registry.