CJ Campbell LLC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1979 Issued in AZ

Legal business name

CJ CAMPBELL LLC

Practice address

1100 N Broad St
Globe, AZ 85501-2757

Phone

(480) 705-7300

Fax

(480) 705-7301

NPI assigned

May 25, 2010

Last updated

May 25, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chad Campbell, PANPI 1982763470

Title

Provider

Phone

(480) 705-7300

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Chad Michael Campbell, PA-C

  • Physician Assistant
  • Globe, AZ
  • NPI 1982763470
  NPD (past) Authorized official

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274745600000",
    "number": "1770802191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N BROAD ST",
            "city": "GLOBE",
            "state": "AZ",
            "postal_code": "855012757",
            "telephone_number": "480-705-7300",
            "fax_number": "480-705-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N BROAD ST",
            "city": "GLOBE",
            "state": "AZ",
            "postal_code": "855012757",
            "telephone_number": "480-705-7300",
            "fax_number": "480-705-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CJ CAMPBELL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-25",
        "last_updated": "2010-05-25",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "480-705-7300",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "1979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Care for Kids of Arizona, LLC (Arizona's Tooth Doctor for Kids-Globe)
• Sherida Carlson, PAC
• Tanner Bo Carlson, PA-C
• Brent Carpeso
• City of Globe Fire Department
• Janet M Cline, DC
• Cobre Valley Community Hospital
• Cobre Valley Community Hospital
• Cobre Valley Emergency Services, LLC
• Cobre Valley Heart Institute PLLC

• Medical Physician Assistant in Globe, AZ
• Providers in Globe, AZ by specialty
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; 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.