Active NPI
Stephen Duffield Campanella, MD
- Specialist
- Butler, PA
National Provider Identifier
1609875905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD037837E
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000484 | Other | PA | GATEWAY |
| 340007180 | Other | PA | PALMETTO |
| 0080209 | Other | PA | AETNA |
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.