Lanny F Campbell, MD
Individual provider Active NPI Family Medicine Physician · Rupert, ID
NPI 1780790147 · NPPES record last updated Aug 25, 2023
Key facts
- NPI
- 1780790147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- M-8031 (ID)
- Practice address
- 1308 8TH St Ste 1
Rupert, ID 83350-1535 - Phone
- (208) 436-4322
- Fax
- (208) 436-1312
- NPI assigned
- Aug 21, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Ohio State University College of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Minidoka Memorial Hospital
Practice addresses (Care Compare)
1218 9TH St
Suite 10
Rupert, ID 83350-2207
Phone (208) 436-8340
1224 8TH St
Rupert, ID 83350-1527
Phone 20843604813167
1308 8TH St
Suite 1
Rupert, ID 83350-1535
Phone 20843604813167
711 G St
Rupert, ID 83350-1612
90 W 142
Rupert, ID 83350-9384
Hospital & facility affiliations
- Minidoka Memorial Hospital
- Cassia Regional Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040615001480 | ID | Practitioner - Family Practice |
4880678069 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-8031 | ID | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Current | Accepting new patients | |
| Minidoka Memorial Hospital | Emergency Medicine | Current |
Accepting new patients |
| Physicians Immediate Care of Twin Falls PA | Family Medicine | Current |
Accepting new patients |
| Minidoka Memorial Hospital | Current |
Accepting new patients | |
| Page Family Medicine | Family Medicine | Past | Accepting new patients |
| Minidoka Memorial Hospital | Past | Accepting new patients |
Locations
1224 8th St
Rupert, ID 83350
Phone (208) 434-8236
1308 8th St
Ste 1
Rupert, ID 83350
Phone (208) 436-4322
243 Cheney Dr W
#200
Twin Falls, ID 83301
Phone (208) 647-0656
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | M-8031 | ID | |
| Family Medicine Physician | 207Q00000X | M-8031 | ID | Yes |
Addresses
Primary practice location
1308 8TH St Ste 1
Rupert, ID 83350-1535
Mailing address
1224 8TH Street
Rupert, ID 83350-1527
Phone (208) 434-8236
Other practice location 1
1224 8th Street
Rupert, ID 83350-1527
Phone (208) 434-8236
Other providers in Rupert, ID
- Brandon Beck
- Scott R Bloxham
- Leo R Brown
- Christopher Mark Burns
- Ryan Callahan
- Sandra Cantu
- Elizabeth Castro Castaneda
- Aaron Catmull
- Nathan A Catmull
- Patrick Joseph Cindrich
All providers in Rupert, ID · Family Medicine Physician in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.