Active NPI
Emir Campanini, MD
- Pediatrics Physician
- San Angelo, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- N7063
- Practice address
- 2141 Hamilton Way
Ste 100
San Angelo, TX 76904-6831 - Phone
- (325) 245-4000
- Fax
- (325) 245-4034
- NPI assigned
- Aug 4, 2010
- Last updated
- Feb 21, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | N7063 | TX | Primary |
Addresses
Primary practice location
2141 Hamilton Way
Ste 100
San Angelo, TX 76904-6831
Mailing address
2141 Hamilton Way
Ste 100
San Angelo, TX 76904-6831
Phone (325) 245-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Employee Assistance Program Inc | Current | Accepting new patients | |
| Regional Employee Assistance Program Inc | Pediatrics | Current | Accepting new patients |
| Regional Employee Assistance Program Inc | Current | Accepting new patients | |
| Shannon Clinic | Pediatrics | Current | Accepting new patients |
| Magella Medical Associates Billing, Inc. | Past | Accepting new patients | |
| Shannon Medical Center | Past | Accepting new patients |
Locations
120 E Beauregard Ave
San Angelo, TX 76903
Phone (915) 658-1511
2141 Hamilton Way
Ste 100
San Angelo, TX 76904
Phone (325) 947-6472
3501 Knickerbocker Rd
San Angelo, TX 76904
Phone (325) 947-6361
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Corsicana, TX
- NPI 1649232984
Pediatrics
-
- Cardiovascular Disease Physician
- Abilene, TX
- NPI 1073575585
-
- General Practice Physician
- San Angelo, TX
- NPI 1750302923
-
dba Magella Medical Associates
- Neonatal-Perinatal Medicine Physician
- Round Rock, TX
- NPI 1083631071
-
- General Acute Care Hospital
- San Angelo, TX
- NPI 1992707228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298246400000",
"number": "1528372315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2141 HAMILTON WAY",
"address_2": "STE 100",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769046831",
"telephone_number": "325-245-4000",
"fax_number": "325-245-4034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2141 HAMILTON WAY",
"address_2": "STE 100",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769046831",
"telephone_number": "325-245-4000",
"fax_number": "325-245-4034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPANINI",
"first_name": "EMIR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-04",
"last_updated": "2011-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "N7063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Angelo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.