Active NPI
Todd Campbell MD PA
- Diagnostic Radiology Physician
- Jacksonville, TX
National Provider Identifier
1639280795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- K5846
- Legal business name
- TODD CAMPBELL MD PA
- Practice address
- 501 S Ragsdale St
Jacksonville, TX 75766-2434 - Phone
- (903) 541-5172
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Todd A Campbell, MD
- Title
- Radiologist
- Phone
- (903) 663-4800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | K5846 | TX | Primary |
Addresses
Primary practice location
501 S Ragsdale St
Jacksonville, TX 75766-2434
Mailing address
4777 US Highway 259
Longview, TX 75605-7668
Phone (903) 663-4800
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Usaf Academy, CO
- NPI 1366492761
Diagnostic Radiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1639280795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4777 US HIGHWAY 259",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756057668",
"telephone_number": "903-663-4800",
"fax_number": "903-663-0378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 S RAGSDALE ST",
"city": "JACKSONVILLE",
"state": "TX",
"postal_code": "757662434",
"telephone_number": "903-541-5172"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TODD CAMPBELL MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CAMPBELL",
"authorized_official_first_name": "TODD",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "RADIOLOGIST",
"authorized_official_telephone_number": "903-663-4800",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "K5846",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.