Scott Eaglesham Campbell, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA-664 Issued in AR

Practice address

1415 Breckenridge Dr
Suite B
Little Rock, AR 72227-4819

Phone

(501) 227-7797

Fax

(501) 227-7753

NPI assigned

Mar 7, 2016

Sex

Male

Sole proprietor

No

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

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Arkansas Healthcare Services LLC

  • Urology Physician
  • Hot Springs, AR
  • NPI 1174582621

  AR

  Medicare reassignment
• Southeastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Maysville, KY
  • NPI 1356379382

  AR

  Medicare reassignment

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

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1821458605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 BRECKENRIDGE DR",
            "address_2": "SUITE B",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722274819",
            "telephone_number": "501-227-7797",
            "fax_number": "501-227-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 BRECKENRIDGE DR",
            "address_2": "SUITE B",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722274819",
            "telephone_number": "501-227-7797",
            "fax_number": "501-227-7753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "SCOTT",
        "middle_name": "EAGLESHAM",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-07",
        "last_updated": "2016-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AR",
            "license": "PA-664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Marie Campbell, MS, CGC
• Kathryn Luttrell Campbell, PHARM.D
• Lee Elizabeth Campbell, MHPP
• Morissa Renee Campbell, LPN
• Patrick Thomas Campbell, MD
• Whitney Campbell
• Tee Cee Camper
• Terry Camper I
• Jonathan Campos
• Brandi Canada

• Medical Physician Assistant in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Medical Physician Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.