Organization Active NPI

Jorge L. Campana, M.D., P.C.

  • Ophthalmology Physician
  • Falls Church, VA
National Provider Identifier
1679744734
Registry record updated Apr 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101043415 Issued in VA
Legal business name
JORGE L. CAMPANA, M.D., P.C.
Practice address
6201 Leesburg Pike
Falls Church, VA 22044-2201
Phone
(703) 534-4277
Fax
(703) 241-5510
NPI assigned
Mar 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2010

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

Authorized official

Name
Mr. Jorge Luis Campana, M.D.
Title
Practice Owner/Provider
Phone
(703) 534-4277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 0101043415 VA Primary

Addresses

Primary practice location

6201 Leesburg Pike
Falls Church, VA 22044-2201

Mailing address

6201 Leesburg Pike
Suite 200
Falls Church, VA 22044-2201
Phone (703) 534-4277

Other identifiers 1

IdentifierTypeStateIssuer
006301576MedicaidVA

National Provider Directory

National Provider Directory

Locations

6201 Leesburg Pike
Falls Church, VA 22044
Phone (703) 237-0725

NPI Registry JSON

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271203200000",
    "number": "1679744734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 LEESBURG PIKE",
            "address_2": "SUITE 200",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220442201",
            "telephone_number": "703-534-4277",
            "fax_number": "703-241-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 LEESBURG PIKE",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220442201",
            "telephone_number": "703-534-4277",
            "fax_number": "703-241-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGE L. CAMPANA, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2010-04-14",
        "status": "A",
        "authorized_official_last_name": "CAMPANA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "PRACTICE OWNER/PROVIDER",
        "authorized_official_telephone_number": "703-534-4277",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101043415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006301576",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; 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.