NPIMap

Individual provider Active NPI

Aaron David Campbell, MD

  • Family Medicine Physician
  • Boise, ID
National Provider Identifier
1841444759
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M-15229 Issued in ID
Practice address
2141 E Parkcenter Blvd
Boise, ID 83706-6701
Phone
(208) 302-5000
Fax
(208) 302-5055
NPI assigned
Nov 6, 2008
Last updated
Apr 12, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 7148463-1205 UT
Sports Medicine (Family Medicine) Physician 207QS0010X MD154336 OR
Family Medicine Physician 207Q00000X M-15229 ID Primary

Addresses

Primary practice location

2141 E Parkcenter Blvd
Boise, ID 83706-6701

Mailing address

3340 E Goldstone Dr
Meridian, ID 83642-1026
Phone (208) 302-9342

Other practice location 1

26 S Main St
UUHC - Centerville Center
Centerville, UT 84014-1817
Phone (801) 693-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, ID2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130621000074 UT Practitioner - Family PracticePractitioner - Sports Medicine 4880882448 Reassigns benefits to 1 organization
I20210106002112 ID Practitioner - Family Practice 4880882448 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2141 E Parkcenter Blvd
Boise, ID 83706-6701
Phone (208) 302-5000

3025 W Cherry LN
Meridian, ID 83642-8531

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M-15229IDMDFamily Medicine Physician
7148463-1205UTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Community Physicians Group Family Medicine Current Accepting new patients
University of Utah Community Physicians Group CurrentSince Feb 1, 2015 Accepting new patients
St Lukes Clinic-Treasure Valley LLC Family Medicine CurrentSince Dec 1, 2020 Accepting new patients
St Lukes Clinic-Treasure Valley LLC Family Medicine CurrentSince Dec 1, 2020 Accepting new patients
Saint Alphonsus Regional Medical Center Inc Current Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Jun 1, 2022 Accepting new patients
University of Utah Community Physicians Group Family Medicine CurrentSince Feb 1, 2015 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Jun 1, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2141 E Parkcenter Blvd
Boise, ID 83706
Phone (208) 302-5000

610 W Hays St
Boise, ID 83702
Phone (208) 345-3530

3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400

3340 E Goldstone Dr
Meridian, ID 83642
Phone (208) 302-9342

26 S Main St
Centerville, UT 84014
Phone (801) 295-2888

7495 S State St
Midvale, UT 84047
Phone (801) 213-9400

1525 W 2100 S
Salt Lake City, UT 84119
Phone (801) 213-8841

Interoperability endpoints

  • Direct secure messaging: acampbell1888358@direct.trinity-health.org

Organizations & group practices 10

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

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1841444759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 E GOLDSTONE DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421026",
            "telephone_number": "208-302-9342",
            "fax_number": "208-367-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 E PARKCENTER BLVD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837066701",
            "telephone_number": "208-302-5000",
            "fax_number": "208-302-5055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26 S Main St",
            "address_2": "UUHC - Centerville Center",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "UT",
            "postal_code": "840141817",
            "country_code": "US",
            "telephone_number": "801-693-7900",
            "fax_number": "801-693-7922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "AARON",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-06",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "7148463-1205",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "OR",
            "license": "MD154336",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M-15229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.