Ellen F. Campbell, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101052547 Issued in VA

Practice address

11710 Newbridge CT
Reston, VA 20191-3500

Phone

(703) 981-2289

NPI assigned

Mar 21, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483660800000",
    "number": "1801855499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11710 NEWBRIDGE CT",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201913500",
            "telephone_number": "703-981-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11710 NEWBRIDGE CT",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201913500",
            "telephone_number": "703-981-2289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "ELLEN",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-21",
        "last_updated": "2017-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101052547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert David Caldwell IV, LICSW
• Stacey Cali, PLPC
• Liliana Calkins
• Kara Callaghan, LPC
• Catherine Nowell Cameron, PA
• Lauren Campbell
• Ruth Ann Campbell, CRNA
• Emilio Canal Jr., D.D.S.
• Allison M Cannon, LCSW
• Maria Pettit Canter, MD

• Internal Medicine Physician in Reston, VA
• Providers in Reston, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; 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.