NPIMap

Organization Active NPI

Robert L. Campbell Aud Inc.

  • Audiologist
  • Coudersport, PA
National Provider Identifier
1689973802
Registry record updated Mar 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AT000280L Issued in PA
Legal business name
ROBERT L. CAMPBELL AUD INC.
Practice address
536 E 2ND St
Coudersport, PA 16915-9438
Phone
(814) 274-9097
Fax
(814) 274-0464
NPI assigned
Mar 28, 2011
Last updated
Mar 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2011

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

Authorized official

Name
Mr. Robert Lemont Campbell, AUDIOLOGISTNPI 1639267206
Title
President
Phone
(814) 274-9097

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X AT000280L PA Primary

Addresses

Primary practice location

536 E 2ND St
Coudersport, PA 16915-9438

Mailing address

536 E 2ND St
Coudersport, PA 16915-9438
Phone (814) 274-9097

Other identifiers 1

IdentifierTypeStateIssuer
0017793080001MedicaidPA

National Provider Directory

National Provider Directory

Locations

536 E 2nd St
Coudersport, PA 16915
Phone (814) 274-8655

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1301270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301270400000",
    "number": "1689973802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 E 2ND ST",
            "city": "COUDERSPORT",
            "state": "PA",
            "postal_code": "169159438",
            "telephone_number": "814-274-9097",
            "fax_number": "814-274-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 E 2ND ST",
            "city": "COUDERSPORT",
            "state": "PA",
            "postal_code": "169159438",
            "telephone_number": "814-274-9097",
            "fax_number": "814-274-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT L. CAMPBELL AUD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-28",
        "last_updated": "2011-03-28",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LEMONT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-274-9097",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "AUDIOLOGIST"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT000280L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017793080001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coudersport, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; 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.