Active NPI
Paul Anthony Campagna
- Pediatric Adolescent Medicine Physician
- Hermiston, OR
National Provider Identifier
1700830379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- MD12932
- Practice address
- 600 NW 11TH St
E37
Hermiston, OR 97838-8602 - Phone
- (541) 667-3732
- Fax
- (541) 667-3731
- NPI assigned
- May 19, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | MD12932 | OR | Primary |
Addresses
Primary practice location
600 NW 11TH St
E37
Hermiston, OR 97838-8602
Mailing address
610 NW 11TH St
Hermiston, OR 97838-8602
Phone (541) 667-3732
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 213051 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD12932 | OR | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Firstcare Medical Foundation | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Samaritan Medical Clinics
- Family Medicine Physician
- Albany, OR
- NPI 1740216498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700830379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 NW 11TH ST",
"city": "HERMISTON",
"state": "OR",
"postal_code": "978388602",
"telephone_number": "541-667-3732",
"fax_number": "541-667-3731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 NW 11TH ST",
"address_2": "E37",
"city": "HERMISTON",
"state": "OR",
"postal_code": "978388602",
"telephone_number": "541-667-3732",
"fax_number": "541-667-3731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPAGNA",
"first_name": "PAUL",
"middle_name": "ANTHONY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "OR",
"license": "MD12932",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "213051",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hermiston, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.