Active NPI
Jorge L. Campana, M.D., P.C.
- Ophthalmology Physician
- Falls Church, VA
National Provider Identifier
1679744734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 0101043415
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006301576 | Medicaid | VA |
National Provider Directory
National Provider DirectoryLocations
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.