Active NPI
James R Campbell, D.O.
- Family Medicine Physician
- Broken Arrow, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 1880
- Practice address
- 510 N Elm PL
Broken Arrow, OK 74012-2539 - Phone
- (918) 251-1391
- Fax
- (918) 251-3008
- NPI assigned
- Aug 15, 2006
- Last updated
- Feb 5, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1880 | OK | Primary |
Addresses
Primary practice location
510 N Elm PL
Broken Arrow, OK 74012-2539
Mailing address
510 N Elm PL
Broken Arrow, OK 74012-2539
Phone (918) 251-1391
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 731328479 | Other | OK | TAX IDENTIFICATION NUMBER |
| 1880 | Other | OK | STATE LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Oklahoma State University College of Osteopathic Medicine, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
510 N Elm PL
Broken Arrow, OK 74012-2539
Phone (918) 251-1391
Hospital & facility affiliations
- Complete Home Health of Western Oklahoma
- Live Well Hospice, LLC
- Saint Francis Hospital, Inc
- Saint Francis Hospital South, LLC
Merit-based Incentive Payment System (MIPS)
- Final score
- 10.63 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 35.44
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1880 | OK | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James R. Campbell, D.O., Inc. | Current | Accepting new patients |
Locations
500 S Elm Pl
Broken Arrow, OK 74012
Phone (918) 251-1391
510 N Elm Pl
Broken Arrow, OK 74012
Phone (918) 251-1391
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.
-
- Primary Care Clinic/Center
- Broken Arrow, OK
- NPI 1053507574
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Complete Home Health of Western Oklahoma
- Home Health Agency
- Enid, OK
- NPI 1174519102
-
- Community Based Hospice Care Agency
- Bixby, OK
- NPI 1508140096
-
dba Saint Francis Hospital South
- General Acute Care Hospital
- Tulsa, OK
- NPI 1376561944
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1003039488
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1144228487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707091200000",
"number": "1720091077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 N ELM PL",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740122539",
"telephone_number": "918-251-1391",
"fax_number": "918-251-3008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 N ELM PL",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740122539",
"telephone_number": "918-251-1391",
"fax_number": "918-251-3008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "JAMES",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2024-02-05",
"certification_date": "2024-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "1880",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX IDENTIFICATION NUMBER",
"identifier": "731328479",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "1880",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Broken Arrow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.