Organization Active NPI

Campbell Surgical PLLC

  • Surgery Physician
  • Mooresville, NC
National Provider Identifier
1528403144
Registry record updated Jul 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
CAMPBELL SURGICAL PLLC
Practice address
123 Professional Park Dr
Suite 101
Mooresville, NC 28117-5516
Phone
(704) 663-7905
Fax
(704) 360-4954
NPI assigned
May 9, 2013
Last updated
Jul 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2013

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

Authorized official

Name
F Michael Campbell, MD
Title
Sole MBR
Phone
(704) 663-7905

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

123 Professional Park Dr
Suite 101
Mooresville, NC 28117-5516

Mailing address

123 Professional Park Dr
Suite 101
Mooresville, NC 28117-5516
Phone (704) 534-3336

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374710400000",
    "number": "1528403144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 PROFESSIONAL PARK DR",
            "address_2": "SUITE 101",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281175516",
            "telephone_number": "704-534-3336",
            "fax_number": "704-360-4954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 PROFESSIONAL PARK DR",
            "address_2": "SUITE 101",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281175516",
            "telephone_number": "704-663-7905",
            "fax_number": "704-360-4954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPBELL SURGICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-09",
        "last_updated": "2013-07-25",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "F",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "704-663-7905",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.