Organization Active NPI

Curtis M Campbell, MD, PC

  • Urology Physician
  • Ogden, UT
National Provider Identifier
1689902850
Registry record updated Nov 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
162371-1205 Issued in UT
Legal business name
CURTIS M CAMPBELL, MD, PC
Practice address
4403 Harrison Blvd
Suite 4400
Ogden, UT 84403-3271
Phone
(801) 387-4550
Fax
(801) 387-4565
NPI assigned
Nov 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2009

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

Authorized official

Name
Curtis Campbell, MD
Title
MD
Phone
(801) 387-4550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 162371-1205 UT Primary

Addresses

Primary practice location

4403 Harrison Blvd
Suite 4400
Ogden, UT 84403-3271

Mailing address

4403 Harrison Blvd
Suite 4400
Ogden, UT 84403-3271
Phone (801) 387-4550

Other identifiers 1

IdentifierTypeStateIssuer
529688167005MedicaidUT

National Provider Directory

National Provider Directory

Locations

4403 Harrison Blvd
Ste 440
Ogden, UT 84403
Phone (801) 387-4550

4403 Harrison Blvd
Ste 4400
Ogden, UT 84403
Phone (801) 387-4550

NPI Registry JSON

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

{
    "created_epoch": "1259539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259539200000",
    "number": "1689902850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4403 HARRISON BLVD",
            "address_2": "SUITE 4400",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844033271",
            "telephone_number": "801-387-4550",
            "fax_number": "801-387-4565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4403 HARRISON BLVD",
            "address_2": "SUITE 4400",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844033271",
            "telephone_number": "801-387-4550",
            "fax_number": "801-387-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CURTIS M CAMPBELL, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-30",
        "last_updated": "2009-11-30",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "801-387-4550",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "UT",
            "license": "162371-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529688167005",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; 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.