Maura L Campbell, M.D.

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

01043524A Issued in IN

Practice address

1411 W Baddour Pkwy
Lebanon, TN 37087-2513

Phone

(615) 443-6006

Fax

(615) 443-6086

NPI assigned

Aug 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN, NC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• East Tennessee Radiation Oncology, P.C.

  • Radiation Oncology Physician
  • Knoxville, TN
  • NPI 1962589150
  Medicare reassignment NPD
• Middle Tennessee Radiation Oncology Services, PC

  • Radiation Oncology Physician
  • Smyrna, TN
  • NPI 1487847802
  NPD Authorized official
• Vidant Medical Group LLC

  • Ambulatory Surgical Clinic/Center
  • Kinston, NC
  • NPI 1376049619
  NPD
• Vidant Medical Group LLC

  • Multi-Specialty Clinic/Center
  • Greenville, NC
  • NPI 1477648731
  NPD
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1831202803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 WINWOOD DR",
            "address_2": "SUITE 201",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370871340",
            "telephone_number": "615-443-6838",
            "fax_number": "615-547-9782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 W BADDOUR PKWY",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370872513",
            "telephone_number": "615-443-6006",
            "fax_number": "615-443-6086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 Kresge Way",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402074605",
            "country_code": "US",
            "telephone_number": "502-897-8100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4003 Kresge Way Ste 115",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402074652",
            "country_code": "US",
            "telephone_number": "502-897-8163",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2210 Green Valley Rd",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "IN",
            "postal_code": "471504648",
            "country_code": "US",
            "telephone_number": "812-945-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1850 State St",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "IN",
            "postal_code": "471504990",
            "country_code": "US",
            "telephone_number": "812-944-7701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1020 Breckenridge St",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423030803",
            "country_code": "US",
            "telephone_number": "270-688-3600",
            "fax_number": "270-688-3673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "MAURA",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "AL",
            "license": "19237",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "KY",
            "license": "31391",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IN",
            "license": "01043524A",
            "primary": true
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "TN",
            "license": "25462",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "3045571",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amity Cagle, MSN
• Courtney Charles Calkins, LMFT
• Camp Marketing, Inc.
• Lisa H Camp, RN
• Heather Campbell, PMHNP-BC, FNP-C
• Caney Fork Radiology, PLLC
• Alessandra Maria Cannon, PT
• Sherri Lynn Cansler, ADMINISTRATIVE DIREC
• Marissa Cantrell, MS, LAT, ATC
• Cardinal Ride Service, LLC

• Radiation Oncology Physician in Lebanon, TN
• Providers in Lebanon, TN by specialty
• Radiation Oncology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.