Megan Campbell, DO

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

475 Irving Ave Ste 210
Syracuse, NY 13210-1529

Phone

(315) 471-2646

NPI assigned

May 11, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Megan Kelly Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3682/brand/1/csg/1/fhir/r4
• Direct secure messaging: mcampbell113@hiemail.healtheconnections.org
• Direct secure messaging: megan.campbell.1@3682.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Crouse Health Hospital, Inc.

  • General Acute Care Hospital
  • Syracuse, NY
  • NPI 1033107743
  NPD (past)
• Madison Irving Pediatrics, PC

  • Pediatric Adolescent Medicine Physician
  • East Syracuse, NY
  • NPI 1063576312
  NPD (past)

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1619355716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 IRVING AVE STE 210",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101529",
            "telephone_number": "315-471-2646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 IRVING AVE STE 210",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101529",
            "telephone_number": "315-471-2646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 E Adams St",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132102306",
            "country_code": "US",
            "telephone_number": "315-464-5420",
            "fax_number": "315-464-7212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5900 N Burdick St Ste 215",
            "address_purpose": "LOCATION",
            "city": "East Syracuse",
            "state": "NY",
            "postal_code": "130579465",
            "country_code": "US",
            "telephone_number": "315-656-8750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "MEGAN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-11",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "KELLY",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• David Campanile, MD
• Cody Patrick Campbell
• Kimberley Campbell, LMSW, CASAC-T
• Kimberly Anne Campbell
• Lanique Tashay Campbell
• Natyia Alexia Campbell, LMHC
• Nicole Campbell, PA-C
• Ranesha S Campbell, LPN
• Samantha Campbell
• Savannah Jeanette Campbell, ATC

• Student in an Organized Health Care Education/Training Program in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Student in an Organized Health Care Education/Training Program in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.