Individual provider Active NPI

Stephen Duffield Campanella, MD

  • Specialist
  • Butler, PA
National Provider Identifier
1609875905
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD037837E Issued in PA
Practice address
480 E Jefferson St
Suite C
Butler, PA 16001-4780
Phone
(724) 285-8550
Fax
(724) 285-8536
NPI assigned
Jul 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD037837E PA Primary

Addresses

Primary practice location

480 E Jefferson St
Suite C
Butler, PA 16001-4780

Mailing address

200 Delafield Rd
Suite 3060
Pittsburgh, PA 15215-3205
Phone (412) 781-6448

Other identifiers 3

IdentifierTypeStateIssuer
1000484OtherPAGATEWAY
340007180OtherPAPALMETTO
0080209OtherPAAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1609875905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 DELAFIELD RD",
            "address_2": "SUITE 3060",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152153205",
            "telephone_number": "412-781-6448",
            "fax_number": "412-781-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 E JEFFERSON ST",
            "address_2": "SUITE C",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160014780",
            "telephone_number": "724-285-8550",
            "fax_number": "724-285-8536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPANELLA",
        "first_name": "STEPHEN",
        "middle_name": "DUFFIELD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD037837E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1000484",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO",
            "identifier": "340007180",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0080209",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.