Active NPI
Connie J Campbell, M.D.
- Surgery Physician
- Bedford, NH
National Provider Identifier
1710963327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 10856
- Practice address
- 9 Washington PL
Suite 203
Bedford, NH 03110-6750 - Phone
- (603) 656-0326
- Fax
- (603) 656-0329
- NPI assigned
- Dec 16, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 10856 | NH | Primary |
Addresses
Primary practice location
9 Washington PL
Suite 203
Bedford, NH 03110-6750
Mailing address
9 Washington PL
Suite 203
Bedford, NH 03110-6750
Phone (603) 656-0326
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5268706 | Other | NH | AETNA HMO |
| 2366 | Other | NH | CIGNA |
| 01YOO2356NH01 | Other | NH | ANTHEM |
| 30200662 | Medicaid | NH | |
| 010856 | Other | NH | TUFTS HEALTH PLAN |
| 2315992 | Other | NH | AETNA |
| NH1846 | Other | NH | HARVARD PILGRIM HEALTHCAR |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10856 | NH | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422748800000",
"number": "1710963327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 WASHINGTON PL",
"address_2": "SUITE 203",
"city": "BEDFORD",
"state": "NH",
"postal_code": "031106750",
"telephone_number": "603-656-0326",
"fax_number": "603-656-0329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 WASHINGTON PL",
"address_2": "SUITE 203",
"city": "BEDFORD",
"state": "NH",
"postal_code": "031106750",
"telephone_number": "603-656-0326",
"fax_number": "603-656-0329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "CONNIE",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-16",
"last_updated": "2015-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NH",
"license": "10856",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "5268706",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2366",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "01YOO2356NH01",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30200662",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "010856",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2315992",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTHCAR",
"identifier": "NH1846",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bedford, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.