Michelle M. Campbell, M.D. PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101236336 Issued in VA

Legal business name

MICHELLE M. CAMPBELL, M.D. PC

Doing business as

Michelle M. Campbell, M.D. PC

Practice address

2765 Jefferson Davis Hwy Ste 207
Stafford, VA 22554-8331

Phone

(540) 288-3335

Fax

(540) 288-3385

NPI assigned

Jun 25, 2006

Last updated

Jun 16, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michelle M Campbell, MDNPI 1780646182

Title

Physician/Owner

Phone

(540) 288-3335

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MICHELLE M. CAMPBELL, M.D. PC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michelle M Campbell, M.D.

  • Family Medicine Physician
  • Stafford, VA
  • NPI 1780646182
  Authorized official Same address or phone

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560643200000",
    "number": "1629004908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2765 JEFFERSON DAVIS HWY STE 207",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225548331",
            "telephone_number": "540-288-3335",
            "fax_number": "540-288-3385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2765 JEFFERSON DAVIS HWY STE 207",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225548331",
            "telephone_number": "540-288-3335",
            "fax_number": "540-288-3385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "319 Hospital Dr",
            "address_2": "Suite 210",
            "address_purpose": "LOCATION",
            "city": "Martinsville",
            "state": "VA",
            "postal_code": "241121929",
            "country_code": "US",
            "telephone_number": "276-656-1006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MICHELLE M. CAMPBELL, M.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2019-06-16",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "540-288-3335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101236336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY PRACTICE",
            "identifier": "1629004908",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MICHELLE M. CAMPBELL, M.D. PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Stafford, VA
• Providers in Stafford, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2019; 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.